                   REGISTRATION / ORDER FORM  (Digital Downs SW)      
                                  07/07/94
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                       (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.   
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   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) __________________________________________.
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