BEETLE RUN FOR WINDOWS   v1.1  :  REGISTRATION FORM
  _____________________________________________________________
  Please find enclosed the $20.00 (U.S.$) registration fee for
  this game. The registered version of Beetle Run will give me
  THIRTY levels of play, faster loading and exiting, plus a 
  Save and Load game feature. I will also receive information on 
  your other Shareware Games and discounts on Soleau Software
  through your Special Bonus Packages. Please see the Beetle.txt 
  file for descriptions of our other Windows games QUARRY and 
  WORDMIX. ** Get 2 games for $35.00 or 3 for $45.00! **
 
  FIND ENCLOSED:  (Check all that apply & Please Print Clearly)

  _______  $20.00 for the Registered Version of Beetle Run
  
  _______  $35.00 for Beetle Run & _________ (Quarry OR Wordmix)

  _______  $45.00 for Beetle Run, Quarry and Wordmix.
 
+ _$3.00_  Shipping/Handling (U.S.& Canada)      $5.00 (Foreign)
                                           
  _______  New York State Residents add appropriate sales tax
     
  _______  TOTAL PAYMENT ($U.S.) 

           
  PAYMENT BY: Check ___   MC ___   Visa ___   P.O.Money Order ___

 (checks must be drawn on a U.S. or Canadian Bank and be in U.S.$)

    If Visa or MC Print Name on Card: ____________________________
      
    Card#: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __      

    Exp.Date ___ / ___ 
                              

  SPECIFY DISK SIZE:  5.25 HD ____     3.5 HD ____     Either ____
        
  NAME AND ADDRESS: ______________________________________________

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     CITIBANK  Account # 46862503     Routing # 021000089 
FOR ORDERS:      Voice/Message: 212.721.2361     Fax: 212.873.4994