==============================[ ORDER FORM]===============================
TerraComp           email questions to:          KathyCassidy@compuserve.com        
1702 7th St                                      kathy.cassidy@hopewell.net
Portsmouth, OH 45662  USA                        ccassidy@zoomnet.net
==========================================================================
   
 SerpentHead may be personalized by sending up to 3 photos with the
 registration fee of $25.  Please write person's name on back of photo.
 If the photo is of an animal or other unusual subject please include
 explanation of who or what you want in the game.

 The face of the subject will be in the game on several game screens toward
 the end of the game, as well as in the animated dragon fight scene.   The
 subject's face will take the place of "Jane Doe" or "John Doe" in the
 shareware version.

 You may send photos to TerraComp at the above address, or send scanned photos
 via email to any of the email address listed above.

 Hintbook is free with the personalized game.

 Please place a check mark in the [ ] boxes below,  and add up the totals.


[ ] Personalized SerpentHead with up to 3 photos.............($25) __________
[ ] Additional photos (more than 3).................($5 per photo) __________   
[ ] Hintbook alone (without personalized game)................($5) __________

                        Postage/Handling.......................... __$2.00___
                        Ohio residents must add 6% tax............ __________

                                                    Total enclosed __________




Disk size:   3.5" High Density 


        Name: _______________________________________________________________

     Address: _______________________________________________________________

 City,ST,Zip: _______________________________________________________________

     Country: ____________________  Phone: __________________________________

Payment by:  [ ] Check   [ ] Money order  

Thank you for ordering from TerraComp and Cassidy Software.

We appreciate your business.

Visit our webpage at: http://family.hopewell.net/kc/index.htm

