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|                 Balazs Rozsa / Pik A Program Order Form               |
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                  THANK YOU FOR REGISTERING YOUR SHAREWARE!

Important: If you are ordering by mail, e-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.

Technical support is not available from Pik A Program. For any technical
help, please contact  Balazs Rozsa directly online:
         CompuServe: 100324,3131
         Internet:   100324.3131@compuserve.com

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 and access software. 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.  Please send the completed
registration form, along with payment to Pik A Program, Inc.

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|                  Balazs Rozsa/Pik A Program ORDER FORM                |
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  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

__________________________________________________________________________
(Name)

__________________________________________________________________________
(Company)

__________________________________________________________________________
(Street1)

__________________________________________________________________________
(Street2)

__________________________________________________________________________
(Town)                                   (State)              (Zip)

__________________________________________________________________________
(Telephone)                   (Fax)               (Country if outside USA)

__________________________________________________________________________
(e-mail address)

Shipping $4.00 for your entire order, whether you order 1 or 100 items.


 QUANTITY     ITEM                            PRICE EACH          TOTAL
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      Action SuperCross                       US  $29.95    US$
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         Shipping                             US  $ 4.00    US$   4.00
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              TAX  (NYS residents only)            ___ %    US$
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                                                  TOTAL:    US$
                                                          ================
Orders are sent on 3.5" diskettes unless otherwise requested. Prices good
through 12/97, 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.
[] BBS/Online service - which one?______________________________________
[] Internet - which site?______________________________________
[] Friend    [] retail store package    [] CD-ROM ______________________
[] magazine - which one?_________________________________
[] other - ______________________________________________



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|           Ordering on-line through Compuserve SWREG service           |
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You can order Action SuperCross on-line using Compuserve SWREG service.
The registration fee will be added to your CIS bill and you will get the
registered version of the program by Compuserve e-mail soon after ordering.
GO SWREG, choose 'Register a program' from the menu, and select the 12817
product ID.

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|  Ordering on-line via Pik A Program's secure WWW registration system  |
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You can order Action SuperCross from the secure web site www.pik.com.
Pik A Program's secure WWW registration system is capable of taking your
order, then, while you are still connected, process the credit card, and
allow a download of the registered version of the game.



