Super Wheel for Windows - Version 1.0
                           Registration Form


Name: ___________________________________________________________________


Address: ________________________________________________________________


City: ___________________________________  State: ________  Zip: ________


Country: ________________________________


Where did you get your copy of Super Wheel: _____________________________


Choose your options below.  You can go with a Super Wheel registration and
Tub-O-Puzzles Puzzle Pak for $9.  The Mega-Womper Puzzle Pak is optional
for $2 extra.  (You can't get the Mega-Womper Puzzle Pak by itself.)
Either way, please include the shipping fee.  Thank you!


Super Wheel registration  $9                    $___________
(includes software license for one
computer plus Tub-O-Puzzles Puzzle Pak
with 250 puzzles)

Mega-Womper Puzzle Pak                          $___________
(additional 250 puzzles)  $2 extra

Shipping  $2 U.S. and Canada                    $___________
          $6 elsewhere


                            Total (U.S. Funds)  $___________

Disk size (check one):  ___ 5.25 DS/DD (360 K)
                        ___ 5.25 DS/HD (1.2 MB)
                        ___ 3.5  DS/DD (720 K)
                        ___ 3.5  DS/HD (1.4 MB)

Please make check payable to John Burky.

Send to:  John Burky
          13624 Bandy Road
          Alliance, Ohio 44601