============================================================================ === ORDERING INFORMATION FOR COLD DREAMS === ============================================================================ THANK YOU FOR REGISTERING YOUR SHAREWARE! Important: If you are ordering by mail or fax, please completely fill out this form and send it in. If you are sending a check or money order, please make sure that payment is made in US funds drawn on a US bank. Shipping within North America is $4.00 for your entire order, whether you order 1 or 100 items. Disk orders are sent on 3.5" diskettes unless otherwise requested. For registered users of any program which Pik A Program distributes, who do not already have access to Compuserve, we can supply a FREE Compuserve membership with a $15.00 usage credit. This is much more than enough online time to have your technical support questions answered, and still have some fun! You may mail, fax, e-mail, or phone in your order. If you are ordering from outside the USA, please first check to see if there is a distributor for this program in your country. Please send the completed registration form, along with payment to Pik A Program, Inc. at: Pik A Program (tm) TOLL FREE (ORDERS ONLY) 1-800-TOREGISTER 13 Saint Marks Place (867-3447) NY, NY 10003 Telephone (212) 598-4939 USA Fax (212) 228-5879 Compuserve: 74777,3233 Internet: 74777.3233@compuserve.com ============================================================================ === ORDERING INFORMATION FOR COLD DREAMS FROM PIK A PROGRAM NYC === ============================================================================ __________________________________________________________________________ (Name) __________________________________________________________________________ (Company) __________________________________________________________________________ (Street1) __________________________________________________________________________ (Street2) __________________________________________________________________________ (Town) (State) (Zip) __________________________________________________________________________ (Telephone) (Fax) (Country if outside USA) QUANTITY ITEM PRICE EACH TOTAL -------------------------------------------------------------------------- COLD DREAMS CD-Version US $35.00 US$ -------------------------------------------------------------------------- COLD DREAMS Disk-Version US $30.00 US$ (contains complete game as on cd) -------------------------------------------------------------------------- Shipping US $ 4.00 US$ 4.00 -------------------------------------------------------------------------- TAX (NYS residents only) ___ % US$ -------------------------------------------------------------------------- Prices good through 12/96, TOTAL: US$ subject to change thereafter. ================ I am paying by: ( ) CHECK ( ) VISACARD ( ) MASTERCARD ( ) AMERICAN EXPRESS ( ) CASH (by registered mail only, please) ( ) DISCOVER CARD Number ____________-___________-__________-____________ Exp. date ___-___ ________________________________________________ ______-______-______ (Signature) (Date) We would appreciate it if you would tell us where did you first heard about this program. Thanks for your cooperation. [] Friend [] retail store package [] CD-ROM _____________ [] magazine - which one?_______________________________________ [] BBS - which one?____________________________________________ [] internet - which site_______________________________________ [] other - ____________________________________________________