
                    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 use capitalization and punctuation where necessary.)

      FROM:  Name: _____________________________________________________

             Name To Register To: ______________________________________

             BBS Name To Reg. To: ______________________________________

             Address: __________________________________________________

             City: ______________________ State: __________ ZIP: _______

             Voice#:(   ) _________________ BBS#:(   ) _________________

             BBS Software: _____________________________________________


                      The following information is optional

             Age:_____________ Occupation:______________________________


               Following are network addresses for various networks,
               If you have an address for a network please enter it:

             FidoNet:__________________________________________________

             InterNet:_________________________________________________
============================================================================

      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.

     You should check The Prophecy BBS every 4-6 months for updates.
=============================================================================

      COMMENTS: _____________________________________________________
      _______________________________________________________________
      _______________________________________________________________
      _______________________________________________________________
      _______________________________________________________________

                          Mail your order to.....

                          Jimmy Rose
                          Atlantis Software
                          2000 Linden Ave
                          Middletown, OH 45044

                       THANK YOU FOR YOUR SUPPORT!
