
  INSTANT REGISTRATION FORM
  Just copy this file to your printer, fold, tape, and mail.
  For US orders only; outside US please register direct with author.

   Quantity  Description                   Price Total
  +--------+------------------------------+-----+-----+   Blox v10.0 was
  |        | Humbug text adventure        | $20 |     |   acquired from:
  +--------+------------------------------+-----+-----+
  |        | Jacaranda Jim text adventure | $15 |     |    [ ] friend
  +--------+------------------------------+-----+-----+    [ ] free BBS
  |        | Blox action game             | $15 |     |    [ ] pay BBS
  +--------+------------------------------+-----+-----+    [ ] disk vendor
  |        | Wilf II action game          | $15 |     |    [ ] user group
  +--------+------------------------------+-----+-----+    [ ] other
                        SHIPPING/HANDLING | $2  |     |   Name of vendor,
                                          +-----+-----+   BBS, etc.:
  Minimum credit card order: $15          TOTAL |     |
  Make checks payable to: Nels Anderson         +-----+   __________________

  SEND REGISTRATION TO:                                
   Nels Anderson                                        
   92 Bishop Drive                                     
   Framingham, MA 01701                                 
  
  Disk Size:  ___ 5.25"  ___ 3.5" (add $2 extra for each 3.5" disk ordered)
  
  Payment:  _____ Check (U.S. funds only)   ______ VISA   ______ MasterCard
  
  Card Number:  _______ _______ _______ _______  Expiration Date:  ________
  
  Signature:  _________________________ (credit card orders must be signed)
  
  Name:  __________________________________________________________________
  
  Address:  _______________________________________________________________
  
  City/State/Zip:  ________________________________________________________

  Comments, suggestions:


  BLOX v10.0
                                                                  +-----+
                                                                  |Place|
                                                                  |Stamp|
                                                                  |Here!|
                                                                  +-----+


                              Nels Anderson
                              92 Bishop Drive
                              Framingham, MA 01701     


