-------------------------------------------------------------- Bonkheads Order Form -------------------------------------------------------------- We hope you have enjoyed the demo version of Bonkheads. To order the full version on CD-ROM, please choose from the following options: By Phone Mail this form Fax this form -------- -------------- ------------- 1-888-447-3767 1 A.M. Entertainment (253) 428-0946 (toll-free) P.O. Box 39086 Tacoma, WA 98439-0086 Quantity Description Price Total ------- ----------- ----- ----- _______ Bonkheads PC $24.95 _______ WA State residents add 8.4% _______ **Shipping: $5 if ordering within the United States and $7 shipping if outside North America. Shipping/Handling (choose one) $5 / $7 -------- TOTAL $________ Make check or money order payable to: 1 A.M. Entertainment Bonkheads PC is shipped on one (1) CD-ROM for Windows 95/NT or higher --------------------- PAYMENT: [ ] Check/Money Order [ ] VISA [ ] MasterCard Card Number:________________________________________________ Exp. Date:______________ Name on card:_____________________ Signature:______________________ (required for credit card orders) Ship to: _____________________________ (name) _____________________________ (street) _____________________________ _____________________________ (city, state, zip) _____________________________ (telephone) Send Payment to: 1 A.M. Entertainment P.O. Box 39086 Tacoma, WA 98439-0086