Order Form Title: Math Assault I: Word Problems Version: 2.3 Copyright, 1993, 1997 Veenetronics Corporation Registration Options: Each option includes every option above it. Amounts in U.S. dollars. 1: Registration and online technical support.........................$21.00 2: Advanced Levels 4 - 8: Multiply, Divide, Decimals, Geometry.......$26.00 3: Speech (2 MB RAM needed) all levels...............................$31.00 4: Printed manual plus above.........................................$36.00 5: Site License.....................................................$100.00 4 ways to register: 1. Phone: 1-800-699-6395 or 1-803-699-6395 (10:00 a.m. - 10:00 p.m. Eastern Time) Through NorthStar Solutions using your valid Visa or MasterCard, or Discover 2. Fax: 1-803-699-5465 (24 hours. International + school orders encouraged) Through NorthStar Solutions using your valid Visa or MasterCard 3. EMail: Internet:STARMAIL@AOL.COM Compuserve:71561,2751 America on Line: STARMAIL Through NorthStar Solutions using your valid Visa or MasterCard ____Visa ____MasterCard ____Discover CardNumber:______________________ Expiration Date:____________________ Cardholder Signature:_____________________________ Date:______________ Your Email address:____________________________________ 4. Regular Mail: (Check or Money order only) Tony Veeneman Veenetronics Corporation 3231 Cumberland Trail Olympia Fields, Illinois 60461 USA ________________________________ _________________________________ Option chosen #1, #2, #3, #4, #5 Amount enclosed _______________________________________________________________________ Name _______________________________________________________________________ Address _______________________________________________________________________ City State zip code country _______________________________________________________________________ Where did you hear about or receive this program?