 Ŀ
  Spanish Helper(TM) Version 1.3    Copyright  1994                  
     G.B. Blanchard and S. Gonzlez All rights reserved.             
 
-------------------------------------------------------------------------
                 Spanish Helper/PIK A PROGRAM ORDER FORM                
-------------------------------------------------------------------------
  You may mail, fax, e-mail, or phone in your order.  We can now even
  accept your checks over the phone (USA only please)!  If you are ordering
  from Europe, order from  Survey Design Associates Ltd. (SDA) Please see
  below for details.  Send the completed registration form, along with 
  payment to Pik A Program, Inc. at:

  Pik A Program (tm)              TOLL FREE (ORDERS ONLY) 1-800-445-3346
  13 Saint Marks Place            Telephone (212) 598-4939
  NY, NY 10003  USA               Fax       (212) 228-5879
  USA                             Compuserve: 73730,2117
                                  Internet: 73730,2117@CompuServe.COM

__________________________________________________________________________
(Name)

__________________________________________________________________________
(Company)

__________________________________________________________________________
(Street1)

__________________________________________________________________________
(Street2)

__________________________________________________________________________
(Town)                                   (State)              (Zip)

__________________________________________________________________________
(Telephone)                   (Fax)               (Country if outside USA)

  You will get a diskette containing the latest full version of the
  program, along with the joke files.  Shipping within North America is
  $4.00 for your entire order, whether you order 1 or 100 items.

 QUANTITY     ITEM                            PRICE EACH          TOTAL
 --------------------------------------------------------------------------
Spanish Helper Level 1               US  $25.00    US$
--------------------------------------------------------------------------
Spanish Helper Level 2               US  $25.00    US$
--------------------------------------------------------------------------
Spanish Helper Level 3               US  $25.00    US$
--------------------------------------------------------------------------
All 3 levels of Spanish Helper       US  $50.00    US$
--------------------------------------------------------------------------
Shipping                                                           $4.00
--------------------------------------------------------------------------
TAX  (NYS residents only)            8.25%
--------------------------------------------------------------------------
                                                TOTAL:    US$
                                                          ================

 Orders are sent on 3.5" high density diskettes unless otherwise requested.

  Spanish Helper Site Licenses available:
    2 to   9 computers: ____ computers at  $20         each = _______
   10 to  24 computers: ____ computers at  $16         each = _______
   25 to  49 computers: ____ computers at  $12         each = _______
   50 to  99 computers: ____ computers at  $ 9         each = _______
  100 to 199 computers: ____ computers at  $ 5         each = _______

  Prices guaranteed through December 1995.


I am paying by:
( ) CHECK     ( ) VISACARD    ( ) MASTERCARD     ( ) AMERICAN EXPRESS
( ) CASH  (by registered mail only, please)      ( ) DISCOVER CARD

                     Number ______-______-______-______  Exp. date ___-___

________________________________________________      ______-______-______
(Signature)                                           (Date)



                  THANK YOU FOR REGISTERING YOUR SHAREWARE!

  Important: If you are ordering by mail or fax, please completely fill
  out this form and send it in.  If you are sending a check or money
  order, please make sure that payment is made in US funds drawn on a US
  bank.

  For registered users of any program which Pik A Program distributes, who
  do not already have access to Compuserve, we can supply a FREE
  Compuserve membership with a $15.00 usage credit.  This is much more
  than enough online time to have your technical support questions
  answered, and still have some fun!

  For those who do not have access to a modem, we offer special pay by the
  minute telephone support.  This is available to registered and
  non-registered users of our programs, but registered users get a
  discount.  Call us for information.


  We would appreciate it if you would tell us where did you first heard
  about this program.  Thanks for your cooperation.

[] BBS - which one?______________________________________
[] Friend    [] retail store package
[] CD-ROM - which one?___________________________________
[] magazine - which one?_________________________________
[] other - ______________________________________________

