

                                 ImagiSOFT, Inc.

                      CHINESE CHECKERS REGISTRATION FORM


         Quantity   Description                   Price       Total
         -------------------------------------------------------------
         |      | Chinese Checkers              |  $19.95  |         |
         -------------------------------------------------------------
         |      | Sales Tax (NM Residents Only) |    1.15  |         |
         -------------------------------------------------------------
         |      | Shipping  (Outside USA Only)  |    3.00  |         |
         -------------------------------------------------------------
                                     TOTAL AMOUNT ENCLOSED |         |
                                                           -----------
         Make checks payable to ImagiSOFT, Inc.
         Personal  checks  must be drawn on a US  bank.   If  ordering
         outside the United States, please use a credit card.

         Disk Size:  ___ 5.25"  ___ 3.5"

         [ ] Check   [ ] VISA   [ ] Master Card   [ ] American Express

         Card Number:  _____ _____ _____ _____     Exp. Date:  _______


         Name: _______________________________________________________

         Address: ____________________________________________________

         City: _______________________________________________________

         State / Country: ____________________________________________

         Zip / Postal Code: __________________________________________


         I received Chinese Checkers from:
           [ ] friend          [ ] disk vendor      [ ] user group
           [ ] free BBS        [ ] pay BBS          [ ] other

         Name of vendor, BBS, friend, etc. ___________________________

         Comments, suggestions:




                  Mail to:             ImagiSOFT, Inc.
                                       Computer Games Division
                                       P.O. Box 13208
                                       Albuquerque, NM   USA   87192

         Credit Card Orders May Call:  (800) 767-1978

