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  1.                          JACK FLASH ORDER FORM
  2.  
  3. Name ________________________________________________________________
  4.  
  5. Address _____________________________________________________________
  6.  
  7. City _______________________________ State ______ ZIP _______________
  8.  
  9. Country (if outside USA) ____________________________________________
  10.  
  11. All orders are shipped on 3.5" disks.
  12.  
  13. Price of complete JACK FLASH game                               $29.95
  14. Shipping and Handling (US)                                        4.00
  15. Shipping and Handling (Canada)                                    5.00
  16. Shipping and Handling (all other countries)                       6.00
  17. Michigan residents add sales tax                                  2.04                                                                ------
  18.                                                                   ----
  19. Make check payable to "MVP Software"           Total enclosed:  $
  20. Master Card/Visa information (credit card orders only)
  21.  
  22. Card number __________________________________________
  23.  
  24. Expiration number ____________________________________
  25. ---------------------------------------------------------------------------
  26. VOLUNTARY QUESTIONS:  Please help us determine what features you would like
  27. ====================  in future products.
  28.  
  29. Circle what type of equipment you have:     286    386    486   Pentium
  30. Circle the speed of your computer(Mhz): 12  16  20  25  33  40  50  66  ___ 
  31. Circle any that apply: Joystick  Mouse  Modem_______  SVGA card____________
  32.                                              (speed)              (type)
  33.  
  34. Sound Capability:  Adlib   Sound Blaster   SB Pro  SB 16   SB AWE32
  35.     PC speaker only   Other ____________________________________
  36.  
  37. Where did you get JACK FLASH?
  38.     Friend   CompuServe   AOL   Prodigy   Ryan's Bar   Exec-PC   Sound Advice
  39.     Invention Factory   Channel 1   Space BBS   World Data Network
  40.     Other BBS (name): _______________________
  41.     Shareware Distributor (name): _________________________________________
  42.  
  43. Please answer the following questions about what you like and don't like in
  44. computer games.
  45.  
  46. Approx # of commercial games owned: ____  #Registered shareware games: ____
  47.  
  48. Circle preference:    Beautiful graphics        Game complexity 
  49. Circle preference:    Solo against computer     2-Player
  50. Circle preference:    Strategy   Action   Simulation   Sports   Other_________
  51. Game playability:     Few levels with hard difficulty    Lotsa levels
  52. ---------------------------------------------------------------------------
  53. Send this order form and your check to:
  54.  
  55. MVP Software, 1035 Dallas S.E., Grand Rapids, MI  49507-1407
  56.  
  57. US or Canada 24-hour order line: 800-968-9684.  Fax: 616-245-3204.
  58. Tech support, information, or overseas order line: 616-245-8376.
  59.  
  60.