                   PUZZLE BUSTER v4.4  ORDER FORM

 Name:   ___________________________________________________

 Address:___________________________________________________

         ___________________________________________________

 City:   _______________________  Prov. or State:___________

 Postal Code or Zip:__________

 Phone: (______)________________    Country:________________


 Printer Type ______________________________________________


 # ____ PUZZLE BUSTER(s)  @ $35.00 : _______.____
 Overseas orders please add $ 5.00 for air mail.
                          
 Disk Size required  [5.25' 1.2 meg]   [3.5" 1.4 meg]  Please circle one.
                     [5.25' 360k   ]   [3.5  720k   ]

            -------------------------------------------------
            - Please enclose a check payable to Greg Duncan.-
            -   GST and PST is included at no cost to you   -
            -------------------------------------------------
 
 Where did you get your shareware PUZZLE BUSTER ?
 ____________________________________________________________

 Comments please: Its great to hear from folks like you!  
 ____________________________________________________________
 ____________________________________________________________
 ____________________________________________________________
 ____________________________________________________________
 ____________________________________________________________

          Mail to:  Greg Duncan
                    29 Fir Avenue               
                    St. Catharines ON Canada
                    L2P 1B8

           (Please allow 2 to 3 weeks for delivery) 
                    (Probably only one.)

