MikeGames Universal Registration Form
©1995 MikeGames

All MikeGames must come on a 1.4mb disk. They are not available on 800k disks. Cash or Check only! To subtract $1.00 off the price you may include a 1.4mb disk with your order. Checks must be made out to Mike Kersey or MikeGames. Shipping and Handling included for U.S. Citizens. Canadian Residents add $1.00 Shipping and Handling.

I would like to Order:
 
															Frog-Gore $5.00																Check Here: ____ 												Amount: _______

 
															Dooom II $5.00 																 Check Here: ____ 												Amount: _______

 
															Chasm 1.0 $5.00														Check Here: ____ 													Amount: _______


																																										Subtract $1.00 if you included a 1.4mb Disk: _______
																																										Subtract $1.00 if you ordered 2 MikeGames: _______
																																										Subtract $2.00 if you ordered 3 MikeGames: _______

																																																																																																	Total Amount: _______

Address (Print Neatly!)

Name: ____________________________

Address: ________________________________________

City: ___________________________ State: _____

Zip Code: ____________________

Online Service: __________________________________

E-Mail Address: ______________________________

Send this form and money to:

MikeGames
3224 French Woods Road
Charlotte, NC 28269