Product Registration ARC 033-2 Profesional Tricks Magician's Secrets Vol. 4 Return this form to receive upgrades, discounts and new product information. Mail to: Arc Media Inc., 5330 Main Street #210, Buffalo, NY 14221-5360, fax to: (416) 410-9651 or register on our web site: www.arcmedia.com Name: _________________________________________________________________ Age: ____________ Occupation: ___________________________________________ Street: ________________________________________________________________ City: ____________________________________________ State: ________________ Country: _________________________________ ZIP/Postal Code: _______________ Telephone: ___________________________ Fax: _____________________________ E-mail: _________________________________________________________________ Platform: [ ] Macintosh [ ] Windows 3.1 [ ] Windows 95 [ ] OS/2 Please rate this product: [ ] Excellent [ ] Good [ ] Poor Comments: ______________________________________________________________ ________________________________________________________________________ ORDER FORM Title Name Part # Qty 1____________________________________________ __________________ _____ 2____________________________________________ __________________ _____ 3____________________________________________ __________________ _____ Order Paid by: [ ] Check [ ] Money Order [ ] MasterCard [ ] Visa [ ] Amex Credit Card #: _______________________ Name: __________________________ Expiry Date: _____________________ Signature: ___________________________ Please make check or money order payable to ARC MEDIA INC. [ ] Please send me a free catalog