home *** CD-ROM | disk | FTP | other *** search
- PROGRESSIVE PRODUCTS
- P.O. Box 1575
- Paso Robles, CA 93447
- FAX/BBS: (805) 239-7672
-
- ORDER FORM
- ==========
-
- Name________________________________________________________
-
- Street Address______________________________________________
-
- City _____________________________ State ____ ZIP __________
-
- Country (Leave blank for USA) ______________________________
-
- Have you registered with us before? [ ] Yes [ ] No
-
- What software did this order form come with ________________
-
- Where did you obtain this software _________________________
-
- Preferred disk size: [ ] 5.25 1.2MB [ ] 3.5 720KB [ ] 3.5 1.4MB
-
- Programs you are ordering/registering:
-
- [ ] Head Banger #2 Leaping Puzzle Game AND
- Head Banger #1 Sliding Puzzle Game. ___ @ $15.00= _________
-
- Calif. residnets add sales tax _________
-
- Shipping & Handling $3.00
- =========
-
- TOTAL amount enclosed $_________
-
- Payment by: [ ] Visa [ ] MasterCard [ ] Check [ ] Money Order
-
- Card number: ___________________________________________
-
- Expiration date: _____/_____ (MM/YY)
-
-
- Signature: ___________________________________________
-
- Please make check or money order payable to: Progressive Products
-
- Mail to: Progressive Products
- P.O. Box 1575
- Paso Robles, CA 93447
-
- Or FAX credit card orders to: (805) 239-7672
- Or register on our BBS by calling: (805) 239-7672 24 hrs. a day!
-