                 HOMEBREW SOFTWARE ORDER FORM        [AA125]
            ***  Please Type or Print Clearly  ***

Name _________________________________________________________

Address ______________________________________________________

City __________________ St./Prov. ___________ ZIP/Code _______

Country _________________ Email ______________________________

                *** Mark your choice below ***
       All prices are in US Dollars, shipping included

Arrow Antics
 [ ]  Download link sent to the email address above   ($19.95)
 [ ]  Shipped via first class mail on CD-ROM          ($24.95)

                                         SUBTOTAL: $__________

              Texas State residents add sales tax: $__________

                                      TOTAL ORDER: $__________

Make checks payable to "Homebrew Software."

[ ] Cash (US Dollars only)
[ ] Check (Must be in US Dollars and drawn against a US bank)
[ ] Money Order
[ ] Credit Card (VISA / MasterCard / Discover accepted)

    Name on Card _____________________________________________

    Card Number ___________________________ Exp Date ____/____

    Signature ________________________________________________

Mail to:    Homebrew Software
            4251 FM 2181 Ste. 230 #311
            Corinth, TX 76210
            USA

or Fax to:  1-940-271-0311        (Credit Card Orders Only)

            *** Thank you for your order! ***