                         ORDER FORM FOR PHONICS 123                     V 1.1sw
                         ~~~~~~~~~~~~~~~~~~~~~~~~~~
                       Fax your order to 410-426-5022
                       ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
       CALL  1-800-327-3929 or 410-426-0649  for CREDIT CARD ORDERS.
       ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
  For all registrations, we'll send you the latest version of PHONICS 123
  with all of the advanced features in PHONICS 2 and 3, plus MUCH MORE.
  Fill in the blanks below and send this page with your check or money order:

 Name: _____________________________________ Phone: ________________________

 Child's Name: _____________________________________________________________

 Address: __________________________________________________________________

 ___________________________________________________________________________

 Computer Brand and Sound Board: ___________________________________________

 Where did you learn about PHONICS 1: ______________________________________

 Comments: _________________________________________________________________

------------------------------------------------------------------------------
 Quantity    Item                                      Cost Each     Total
------------------------------------------------------------------------------

  ______     PHONICS 1, 2 and 3 for DOS                 $ 39.00   __________

  ______     PHONICS 1, 2 and 3 for WINDOWS             $ 59.00   __________

  ______     The PHONICS CD (With VIDEO phonics)        $ 99.00   __________

  ______     ______________________________________    ________   __________
             Refer to MANUAL.EXE for other products.
                      ~~~~~~~~~~                         Subtotal __________

    Site Licenses                      MD residents add sales tax __________
    Available
                                     Shipping and handling charge   $ 4.00
                                                                  __________
  P.O number: ____________________
                                                            TOTAL __________
                                                                  **********
 [ ] Check enclosed.  Make payable to DareWare Inc.
 or: Charge my  [ ]Visa  [ ]MasterCard 

 Card No.: ______________________________________________ Exp.: ____________

 Your signature: ________________________________________

 Please MAIL to:        DareWare Inc.
 ~~~~~~~~~~~~~~         3005 Glenmore Ave.
                        Balto., MD 21214   USA
