               Crossword Express for Windows Order Form
========================================================================
                        US Registration Agent
     Pinnacle Solutions         Ph: 800-553-4305 or 205-532-1024 (24 hr)
     Registration Department    FAX: 205-883-4305
     1001 Cassandra Avenue
     Huntsville, AL  35802-3207   Internet Email:   pinnacle@iquest.com
========================================================================
                        Company Office
     AUS-PC-SOFT                  Email: johnstev@adelaide.dialix.oz.au
     Onkaparinga Valley Road
     Verdun
     South Australia
     5245
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Please register and send a copy of CROSSWORD EXPRESS to:

Name:     ______________________________________________________________

Address:  ______________________________________________________________

          ______________________________________________________________

Zip:      _____________   Country: ______________  Phone: ______________

Disk Format: ( ) 3.5" ( ) 5.25"    email:_______________________________

Registration Fees (US Funds):        Price   Quantity    Total
                                    ------   --------   --------

( ) Crossword Express Lite          $19.95   ________   ________

( ) Crossword Express Pro           $39.95   ________   ________

Prices are in US funds only.                     Total:
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Payment Enclosed: ( ) Check ( ) Money Order ( ) Credit Card     

Make Checks/Money Orders payable to Pinnacle Solutions or AUS-PC-SOFT

Please charge this purchase to my credit card account:

( ) VISA     ( ) Mastercard     ( ) Bankcard

CARD NUMBER:  __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __


EXPIRY DATE: _____/_____  Cardholder Name: ____________________________


Signature: ____________________________________________________________

Credit Card purchases will be debited in AUS currency by AUS-PC-SOFT.
