Order Form ---------- To : Date : __/__/199_ In the U.S.A. : In Europe : In Israel : The Two Nice Guys The Two Nice Guys The Two Nice Guys Emmanuel Huna Emmanuel Huna Emmanuel Huna 100 Millbrae Av., #5 6 Rue Linne Rehov Hamitzpeh 13/8 Millbrae, CA 94030 75005 Paris 55900 Ganei Tikvah U.S.A. France Israel I would like to register the following products : Product Media Price Number Total - - Per of Name Type Unit* Copies --------- ----- ----- ------ ----- _ Wormitup _____ $25 ______ $ _____ _ Tracer _____ $25 ______ $ _____ ------- Total ---------- ............................ $ _____ Please send me the latest versions of the products I ordered. I enclose a cheque with the required amount. Please make cheques to : Emmanuel Huna One of the adresses above. User Name : __________________________________________________________ __________________________________________________________ Address : __________________________________________________________ __________________________________________________________ __________________________________________________________ Remarks : __________________________________________________________ __________________________________________________________ __________________________________________________________ * Please add $1 for 3.5'' media.