               ATLANTIS SOFTWARE REGISTRATION FORM
               ***********************************

      >>> ALL CHECKS AND MONEY ORDERS MUST BE MADE OUT TO: <<<

                         JIMMY ROSE
                         2000 Linden Ave
                         Middletown, OH 45044

 Canadian orders must send a Canadian Postal Money Order in US$
 Foriegn orders must send an International Money Order in US$

 (Please type or print clearly)

FROM: Name: ___________________________________________________
      Name To Register To: ____________________________________
      BBS Name To Reg. To: ____________________________________
      Address: ________________________________________________
      City: _____________________ State: __________ ZIP: ______
      Voice#:(   ) ________________ BBS#:(   ) ________________
      BBS Software: ___________________________________________
 
     If you have an address for a network please enter it:

     InterNet:__________________________________________________
     FidoNet :__________________________________________________
================================================================
PROGRAM                      PRICE  PROGRAM                PRICE
-------                      -----  -------                -----
[ ] The Guest Registry......$15.00  [ ] The Personals......$15.00
[ ] Election Day!...........$10.00  [ ] The Wall of Wisdom.$10.00
[ ] Door Wizard (3rd qtr 98)$15.00
  (Former DreamWare doors)
[ ] Acey Deucy ............ $10.00  [ ] Adopt Me! ........ $10.00
[ ] Announce! ............. $10.00  [ ] BattleShip........ $10.00
[ ] BlackJack Dice ........ $10.00  [ ] BoxDice .......... $10.00
[ ] Card Sharks ........... $10.00  [ ] Chomper .......... $10.00
[ ] DreamCHAT ............. $10.00  [ ] DreamCRAPS ....... $10.00
[ ] DreamDOWN ............. $10.00  [ ] DreamHANG .........$10.00
[ ] DreamLIST ............. $10.00  [ ] DreamLOG.......... $10.00
[ ] DreamMATCH ............ $10.00  [ ] DreamORDER ....... $10.00
[ ] DreamROM .............. $25.00  [ ] DreamSHUFFLE ..... $10.00
[ ] DreamSTACK ............ $10.00  [ ] DreamSTAKES ...... $10.00
[ ] DreamSLOTS ............ $10.00  [ ] DreamTRACK ....... $10.00
[ ] Jot ... ............... $10.00  [ ] Lights Out ....... $10.00
[ ] Othello ............... $10.00  [ ] Pot of Gold ...... $10.00
[ ] PressIT ............... $10.00  [ ] Simon Sez ........ $10.00
[ ] Target Dice ........... $10.00  [ ] Yahtzee .......... $10.00

  Atlantis Package Specials:
  [ ]  5 Doors                  $ 40.00 __
  [ ] 10 Doors                  $ 75.00 __
  [ ] 15 Doors                  $100.00 __
  [ ] 20 Doors                  $120.00 __
  [ ] 25 Doors                  $135.00 __
  All doors listed above        $150.00 __

                          Total $_________
 
>> Delivery Method
----------------------------------------------------------------
Shipping & Handling                                 Fee

[ ] Send Disks with latest version of               $5.00
    Atlantis Software programs.
[ ] Send registration code to my FidoNet address.   $0.00(Free)
    (Be sure to include your proper address above).
[ ] Send registration Code to my Internet address   $0.00(Free)
    (Be sure to include proper address above)
[ ] Send registration code via U.S. Mail (no disk)  $0.00(Free)

   All orders are processed promptly.
   If you selected FidoNet or Internet above and mail is
   undeliverable at the address you provide, then your
   registration will be sent U.S. Mail.

Please check the Atlantis Software website for updates:
http://w3.one.net/~jrose/atlantis.htm
===============================================================
COMMENTS: _____________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

                    Mail your order to:

                    Jimmy Rose
                    Atlantis Software
                    2000 Linden Ave
                    Middletown, OH 45044

                 THANK YOU FOR YOUR SUPPORT!
