To:   David Manthey
      P.O.Box 27
      Troy, New York 12181-0027

From:
      ___________________________________

      ___________________________________

      ___________________________________

      ___________________________________
                                                                  Qty. Cost
                                                                  __________
[ ] Register Carte Primus.  $25.00                               |    |     |
    You get a copy of the latest version, a disk full of card    |    |     |
    backs, printed documentation, and the legal right to use     |    |     |
    this and any future versions of Carte Primus.                |    |     |
                                                                 |    |     |
    Name for registration (please print): ______________________ |    |     |
                                                                 |____|_____|
[ ] Enter card back of the month contest.  No charge.            |    |     |
    Enclose a disk containing the card back file.  If there are  |    |     |
    multiple backs in the file, indicate which set you like best.|    |     |
    To have the disk returned, enclose a self-addressed, stamped |    | xxx |
    envelope.  Note that contest submissions can also be         |    |     |
    emailed to cprimus@albany.net                                |    |     |
                                                                 |____|_____|
[ ] T-shirt.  $20.00                                             |    |     |
    Thick t-shirt with cribbage board on back and the words      |    |     |
    "Carte Primus" on the front.                                 |    |     |
    Specify size: S M L XL                                       |    |     |
                                                                 |____|_____|
[ ] Disks of card backs.  $10.00 for one, $15 for three.         |    |     |
    Specify which disks you would like:                          |    |     |
    [ ] The Great Outdoors                                       |    |     |
    [ ] Textures                                                 |    |     |
    [ ] U.S.Representatives                                      |    |     |
    [ ] Atomic Orbitals                                          |    |     |
    [ ] Firecracker labels                                       |    |     |
    Check the web site http://www.albany.net/~cprimus for more.  |____|_____|

                                                            Total:
                                                                  __________

Printed from the Three of Hearts version.

Shipping and handling is included.  Please make check or money order payable
to David Manthey.  Your check will not be deposited until your order is
shipped.  Thank you.

You can use the top of this form as a shipping label.