                      PLBM Games Order Form         July 12, 1996
                      =====================
                         P.O. Box 10342
                      Costa Mesa, CA  92627
                  Phone Orders:  1-800-909-5701         Dept.1135
                  Int'l. Phone:  1-714-752-8848
                  Email Orders:  sales@plbm.com
                  Browser:  http://www.plbm.com

Ship To:_______________________________ (Name)

        _______________________________ (Address)

        _______________________________ (Include Zip)

Phone:(_____)__________________ Email Address:___________________

       *** All orders shipped on 3.5" 1.44mb diskette ***
+==============================================================+
|Product Name/Description                   |  Price  | Total  |
|===========================================+=========+========|
|ABDUCTOR: Save the planet's humanoids      | $14.95  | ______ |
|ACKACK: Be the parachutist's nightmare     | $14.95  | ______ |
|GALAXI: Blast alien fighters in space      | $14.95  | ______ |
|GRAVWELL: Lunar module simulation (Combat) | $14.95  | ______ |
|KERBOOM!: Crazy criminal drops bombs on you| $14.95  | ______ |
|METEOR: Meteor Rescue - rescue astronauts  | $14.95  | ______ |
|PLBMPONG: Table Tennis on a computer       | $14.95  | ______ |
|ROF: Revenge Of Froggie                    | $14.95  | ______ |
|ROXX: Blast rocks in outer space           | $14.95  | ______ |
|SCUD: Scud Attack - defend against missiles| $14.95  | ______ |
|SOI: Spaced-Out Invaders (from space?)     | $14.95  | ______ |
|SPEEDKAR: Car chase action in a maze       | $14.95  | ______ |
|STAL: Stalactites - unique fast fun        | $14.95  | ______ |
|SWAR: Two-player space combat game         | $14.95  | ______ |
|VIPER: the Snake/Serpentine game           | $14.95  | ______ |
|ZART: Zee Artillery - two player only      | $14.95  | ______ |
|-------------------------------------------+---------+--------|
|FUNPAK1: PLBMPONG+SWAR+ZART (all 2-player) | $19.95  | ______ |
|-------------------------------------------+---------+--------|
|Special:  any three (3) above products     | $29.95  | ______ |
|-------------------------------------------+---------+--------|
|                         Shipping and Handling, add: | $4.95  |
|-------------------------------------------+---------+--------|
|             California orders, add 7.75% Sales tax: | ______ |
|-------------------------------------------+---------+--------|
| *ALL PAYMENT MUST BE IN US DOLLARS ONLY!* |  TOTAL: |        |
+===========================================+=========+========+
* International shipping slightly more; allow for adjustment!
* Next-Day (plus $10) and 2nd-Day Air (plus $5) available

I am paying by:  [___Check]  [___Money Order]  [___Credit Card]

Credit Card Type:  [___Visa]  [___MasterCard]  [___Discover]

Number: _________-__________-_________-_________ Exp:____/_____

Cardholder Signature:  ________________________________________
