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*                          CHAMPROGRAMMING ORDER FORM                        *
*                               revised 10/1/97                              *
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1. NAME AND ADDRESS:

First:   __________________  Last:  __________________________________________

Address: _____________________________________________________________________

City:    ____________________ State/Province: _______________ Zip: ___________

Country: ____________ Phone: (______)__________ Email: ___________@___________


2. ORDER INFORMATION:
                                               CHAMP       
 Quantity  Item Code     Item Description     Credits  Unit Price Total Price
------------------------------------------------------------------------------
|        |           |                      |         |          |           |
|________|___________|______________________|_________|__________|___________|
|        |           |                      |         |          |           |
|________|___________|______________________|_________|__________|___________|
|        |           |                      |         |          |           |
|________|___________|______________________|_________|__________|___________|
|        |           |                      |         |          |           |
|________|___________|______________________|_________|__________|___________|
|        |           |                      |         |          |           |
|________|___________|______________________|_________|__________|___________|
|        |           |                      |         |          |           |
|________|___________|______________________|_________|__________|___________|
                                                                 |           |
Shipping and Handling:                                 Subtotal: |___________|
-> $1 for each item (U.S.A. only)                                |           |
-> $3 for each item (non-U.S.A.)                            Tax: |___________|
                                                                 |           |
All games shipped within 2-4 weeks of purchase.        Shipping: |___________|
                                                                 |           |
                                                          TOTAL: |___________|
3. PAYMENT INFORMATION

   [  ] Check         [  ] Money Order
   [  ] Visa          [  ] Mastercard

   Card #: ________________________  Exp. Date: ____/____

   Signature (credit card only):_________________________

   Please send your payment to:

            CHAMProgramming Corp.
            34-3 Shunpike Road, #187
            Cromwell, CT 06416 USA

   If paying by credit card, you may also fax your order to (860) 635-0080 
   or you can place your order on-line at http://www.champgames.com.

   All checks must be drawn from a United States bank in U.S. funds only!


COMPLETE LIST OF CHAMP PRODUCTS AVAILABLE:

ITEM   DESCRIPTION          UNIT       CREDIT     RELEASE DATE
CODE                        PRICE*     PRICE*
-----------------------------------------------------------------------------
CG01   CHAMP Pac-em         12.95      300        Available Now!
CG04   CHAMP Ms. Pac-em     14.95      400        Available Now!
CG05   CHAMP Galaxia        12.95      300        Available Now!
CG06   CHAMP Kong           17.95      500        Available Now!
CG07   CHAMP Galagon        17.95      500        Available 11/97    
CG08   CHAMP Invaders       12.95      250        Available Now!
CG99   CHAMP Cable          17.95      450        Available Now!

*All prices are subject to change without notice.  Please visit our
website at http://www.champgames.com for the latest pricing
information and availability.

-----------------
| CHAMP Credits |
-----------------
For each game you purchase, you earn 100 CHAMP Credits which can be used
on future purchases.  If you purchase more than one game at once, you
are also awarded BONUS CHAMP Credits.  The following table summarizes the
CHAMP Credits earned for a purchase:

# OF GAMES      CHAMP           BONUS           TOTAL
ORDERED         CREDITS         CREDITS         CREDITS
----------------------------------------------------------
1               100             0               100
2               200             50              250
3               300             100             400
4               400             200             600
5 or more       Add 100 each    Add 50 each     Add 150 each

HOW DO I USE CHAMP CREDITS?

To use your CHAMP Credits, simply fill out your order form and make sure to
write the number of credits for the game in the 'CHAMP Credits' column.  Only
fill in the 'Unit Price' column for the games you are sending money for.

You can also use your CHAMP Credits on-line at the CHAMProgramming Web Site, 
located at:

	http://www.champgames.com

To verify your credits with our accounting department, or for any other
questions about CHAMP Credits, please E-mail us at

	credits@champgames.com

This offer is valid until December 31st, 1997.


Thank you for your support.
