Product Registration  (MAR490-1, Wonders of the Modern World)

Return this form to receive upgrades, discounts and new product information. Mail to: 
Arc Media Inc., 5330 Main Street #210, Buffalo, NY 14221-5360, fax to: (416) 410-9651 
or register on our web site: www.arcmedia.com

Name: _______________________________________________________________________________
 
Age: ____________  Occupation: ______________________________________________________

Street:  ____________________________________________________________________________

City: ____________________________________________  State: __________________________

Country: _________________________________  ZIP/Postal Code: ________________________

Telephone: ___________________________  Fax: ________________________________________

E-mail: _____________________________________________________________________________

Platform:    [  ] Macintosh   [  ] Windows 95   [  ] Windows 98   [  ] Windows NT

Please rate this product:    [  ] Excellent    [  ] Good    [  ] Poor

Comments: ___________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

ORDER FORM:

Title Name					     Part #		    Qty

1________________________________________________    ___________________    _________

2________________________________________________    ___________________    _________

3________________________________________________    ___________________    _________

Order Paid by: [ ] Check  [ ] Money Order  [ ] MasterCard  [ ] Visa   [ ] Amex

	Credit Card #: _______________________  Name: _______________________________
	
	Expiry Date: _____________________  Signature: ______________________________

Please make check or money order payable to ARC MEDIA INC.

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