------------------------------------------------------------------------- | Balazs Rozsa / Pik A Program Order Form | ------------------------------------------------------------------------- THANK YOU FOR REGISTERING YOUR SHAREWARE! Important: If you are ordering by mail, e-mail, or fax, please completely fill out this form and send it in. If you are sending a check or money order, please make sure that payment is made in US funds drawn on a US bank. Technical support is not available from Pik A Program. For any technical help, please contact Balazs Rozsa directly online: CompuServe: 100324,3131 Internet: 100324.3131@compuserve.com For registered users of any program which Pik A Program distributes, who do not already have access to Compuserve, we can supply a FREE Compuserve membership with a $15.00 usage credit and access software. This is much more than enough online time to have your technical support questions answered, and still have some fun! You may mail, fax, e-mail, or phone in your order. Please send the completed registration form, along with payment to Pik A Program, Inc. ------------------------------------------------------------------------- | Balazs Rozsa/Pik A Program ORDER FORM | ------------------------------------------------------------------------- Pik A Program (tm) TOLL FREE (ORDERS ONLY) 1-800-TOREGISTER 13 Saint Marks Place (867-3447) NY, NY 10003 Telephone (212) 598-4939 USA Fax (212) 228-5879 Internet: sales@pik.com __________________________________________________________________________ (Name) __________________________________________________________________________ (Company) __________________________________________________________________________ (Street1) __________________________________________________________________________ (Street2) __________________________________________________________________________ (Town) (State) (Zip) __________________________________________________________________________ (Telephone) (Fax) (Country if outside USA) __________________________________________________________________________ (e-mail address) Shipping $4.00 for your entire order, whether you order 1 or 100 items. QUANTITY ITEM PRICE EACH TOTAL -------------------------------------------------------------------------- Action SuperCross US $29.95 US$ -------------------------------------------------------------------------- Shipping US $ 4.00 US$ 4.00 -------------------------------------------------------------------------- TAX (NYS residents only) ___ % US$ -------------------------------------------------------------------------- TOTAL: US$ ================ Orders are sent on 3.5" diskettes unless otherwise requested. Prices good through 12/99, subject to change thereafter. I am paying by: ( ) CHECK ( ) VISACARD ( ) MASTERCARD ( ) AMERICAN EXPRESS ( ) CASH (by registered mail only, please) ( ) DISCOVER CARD Number ______-______-______-______ Exp. date ___-___ ________________________________________________ ______-______-______ (Signature) (Date) We would appreciate it if you would tell us where did you first heard about this program. Thanks for your cooperation. [] BBS/Online service - which one?______________________________________ [] Internet - which site?______________________________________ [] Friend [] retail store package [] CD-ROM ______________________ [] magazine - which one?_________________________________ [] other - ______________________________________________ ------------------------------------------------------------------------- | Ordering on-line via Pik A Program's secure WWW registration system | ------------------------------------------------------------------------- You can order Action SuperCross from the secure web site www.pik.com. Pik A Program's secure WWW registration system is capable of taking your order, then while you are still connected, process the credit card application, and allow you to download the registered version of the game. ------------------------------------------------------------------------- | Ordering on-line through Compuserve SWREG service | ------------------------------------------------------------------------- You can order Action SuperCross on-line using Compuserve SWREG service. The registration fee will be added to your CIS bill and you will get the registered version of the program by Compuserve e-mail soon after ordering. GO SWREG, choose 'Register a program' from the menu, and select the 12817 product ID. ------------------------------------------------------------------------- | Upgrading for free from version 1.0 or 1.1 to version 1.2 | ------------------------------------------------------------------------- If you are a registered user of version 1.0 or 1.1, you can upgrade to version 1.2 for free. Just send an email to balazs@compuserve.com in which please list the following things: Your registration name The approximate date when you registered the game After that I will instruct you in email where you can download from the web the upgrade installation package. The upgrade package needs the registered 1.0 or 1.1 version of the game to install. This upgrade offer is valid only in the above form through 9/1998.