AMOEBA WARE REGISTRATION FORM
                               Order Form

      Your Name _________________________________________________

      Address   _________________________________________________

      City/State Zip  ___________________________________________

      Your Voice Phone Number  __________________________________

      Your BBS Name   ___________________________________________
               * BE EXACT (SEE BELOW) - must match reg. #

      Your BBS Number ___________________________________________

      Computer Type   ___________________________________________

      BBS SOFTWARE    ___________________________________________

      Are you running Multi Node?  _____________

      Modem Type (Make/Baud,etc)  _______________________________


      Where did you here about AMOEBA WARE ?  ___________________

      ___________________________________________________________

ÕÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ͸
³ * NOTE : When you are writing your BBS Name, PLEASE write it EXACTLY as ³
³          you would like it to appear on the screen.                     ³
³           (Example : The Nuclear Amoeba BBS or THE NUCLEAR AMOEBA BBS)  ³
³       ** The registration key will be CASE SENSITIVE! **                ³
ÔÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ;

check one:
          ____  The ON-LINE Catalog v2.xx ..........$129.00  (sales door)

          ____  Nuclear Strike v4.1  ............... $25.00  (game)
          ____  Klondike Solitaire v4.0 ............ $25.00  (game)
          ____  Kuwaiti Oil v3.0 ....................$25.00  (game)
          ____  Mindbender! v1.0 ....................$25.00  (game)
          ____  Amoeba Bingo! v1.0 ..................$25.00  (game)

          ____  Game Pack (all 5 games only).........$100.00
          ____  Discount Package (all 6 programs)....$189.00

               Please enclose a check or money order and send to:
                         ÕÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ͸
                         ³      ANDREW BROWN      ³
                         ³      P.O. Box 163      ³
                         ³ Smyrna, Delaware 19977 ³
                         ÔÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍÍ;
                The Nuclear Amoeba BBS - (302) 653 - 7685
                24 hrs/day / 7 days/wk   300 - 14400 baud
                      FIDO 1:2600/245 (DOORWARE)