INSTANT REGISTRATION FORM Just copy this file to your printer, fold, tape, and mail or FAX it. See the file CIPHERWN.TXT for program descriptions. Quantity Description Price Total +--------+------------------------------+-----+-----+ Cipher for Windows v1.1 | | Cipher for Windows | $15 | | was acquired from: +--------+------------------------------+-----+-----+ | | "Deluxe" Cipher for Windows | $22 | | [ ] friend +--------+------------------------------+-----+-----+ [ ] free BBS | | Puzzle Collections; Circle | $5 | | [ ] pay BBS | | ones you want: 1 2 3 4 | each| | [ ] disk vendor +--------+------------------------------+-----+-----+ [ ] rack in store | | Tile Match | $15 | | [ ] user group +--------+------------------------------+-----+-----+ [ ] other (describe) | | "Deluxe" Tile Match | $22 | | +--------+------------------------------+-----+-----+ Name of vendor, BBS, | | EGATrek | $15 | | store, etc.: +--------+------------------------------+-----+-----+ | | "Deluxe" EGATrek | $22 | | _____________________ +--------+------------------------------+-----+-----+ | | Mah Jongg solitaire | $15 | | Mail to: +--------+------------------------------+-----+-----+ Nels Anderson | | "Deluxe" Mah Jongg | $22 | | 585 Edmands Road +--------+------------------------------+-----+-----+ Framingham, MA | | Shooting Gallery | $15 | | 01701 U.S.A. +--------+------------------------------+-----+-----+ FAX: 508-788-1363 | | "Deluxe" Shooting Gallery | $22 | | +--------+------------------------------+-----+-----+ SHIPPING: $2 per | | SuperFly | $15 | | order, except $4 +--------+------------------------------+-----+-----+ for deluxe versions | | "Deluxe" SuperFly | $22 | | or for shipping +--------+------------------------------+-----+-----+ outside of North | | Charge for EACH 3.5" disk | $2 | | America. +--------+------------------------------+-----+-----+ | TOTAL SHIPPING/HANDLING @ $2 OR $4 |$2/$4| | <-----+ +-----+-----+ All prices are in U.S. dollars TOTAL | | Minimum credit card order: $15 +-----+ Make checks payable to: Nels Anderson Please note: Cipher Puzzle Collections will all come on one diskette, no matter how may Collections you order. Circle Disk Size: 5.25" 3.5" (add $2 extra for EACH 3.5" disk ordered) ^^^^ Payment: _____ Check (U.S. funds only) ______ VISA ______ MasterCard Card Number: _______ _______ _______ _______ Expiration Date: ________ Signature: _________________________ (credit card orders must be signed) Name: __________________________________________________________________ Address: _______________________________________________________________ City/State/Zip: ________________________________________________________ Comments, suggestions: Cipher for Windows v1.1 +-----+ |Place| |Stamp| |Here!| +-----+ Nels Anderson 585 Edmands Road Framingham, MA 01701-3088