REGISTRATION / ORDER FORM (Digital Downs SW) 07/07/94 ============================================================================ (Digital Downs SW-1.20) (Shipping and handling is $3.00 for U.S. and Canada. All other destinations must add an additional $2.00 for postage) ___ Digital Downs -------------------------- ($15.00) Disk type..... ___ Ultimate Gin --------------------------- ($10.00) ___ Ultimate Blackjack --------------------- ($10.00) ___ 1.44 (3.50 HD) ___ Ultimate Baccarat ---------------------- ($10.00) Shipping and Handling ---- ($ 3.00) ___ 1.20 (5.25 HD) Sub Total $__________ Ca. Sales tax @ 7.75% $__________ (California only) Grand Total $__________ Send check or money order Your Name:_________________________ to...... ACCIDENTAL SOFTWARE Address:_________________________ 13245 SKIOMAH RD. APPLE VALLEY, CA. 92308 Address:_________________________ Phone Orders (619) 247-2804 City,State,Zip:_________________________ FOREIGN ORDERS: Send International money order (U.S. currency) or check drawn on a U.S. bank or MasterCard / VISA information. For your convenience, we accept MasterCard or Visa for the amount of your purchase. If you decide to charge, call 1-619-247-2804 or send this order form to ACCIDENTAL SOFTWARE with the following information. Check one.... __ VISA or MasterCard number __________________________ |__| VISA Expiration date ____________________________________ __ |__| MasterCard Card holders name __________________________________ Signature __________________________________________ Phone orders accepted between 8AM and 5PM Pacific Standard Time, Monday through Friday. (619) 247-2804 Orders are shipped via U.S. mail. (DD 1.3) If you need to send us a Fax, call first to alert us of the incoming FAX. ============================================================================ Shareware Survey: How did this product come to your attention? ___ 1. From a shareware vendor (name) __________________________________. ___ 2. From a BBS (name) _______________________________________________. ___ 3. From a friend. ___ 4. Other (please specify) __________________________________________. ---------------------------------------------------------------------------- SUGGESTIONS or GAMES YOU WOULD LIKE TO SEE?