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*                          WorkHorse Games ORDER FORM                        *
*                               revised 7/03/04                              *
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1. NAME AND ADDRESS:

First:   __________________  Last:  __________________________________________

Address: _____________________________________________________________________

City:    ____________________ State/Province: _______________ Zip: ___________

Country: ____________ Phone: (______)__________ Email: ___________@___________


2. ORDER INFORMATION:
                                                      
 Quantity  Item Code     Item Description             Unit Price   Total Price
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|        |           |                             |             |           |
|________|___________|_____________________________|_____________|___________|
|        |           |                             |             |           |
|________|___________|_____________________________|_____________|___________|
|        |           |                             |             |           |
|________|___________|_____________________________|_____________|___________|
|        |           |                             |             |           |
|________|___________|_____________________________|_____________|___________|
|        |           |                             |             |           |
|________|___________|_____________________________|_____________|___________|
|        |           |                             |             |           |
|________|___________|_____________________________|_____________|___________|
                                                                 |           |
Shipping and Handling:                                 Subtotal: |___________|
-> $1 for each item (U.S.A. only)                                |           |
-> $3 for each item (non-U.S.A.)                            Tax: |___________|
                                                                 |           |
All games shipped within 2-4 weeks of purchase.        Shipping: |___________|
                                                                 |           |
                                                          TOTAL: |___________|
3. PAYMENT INFORMATION

   [  ] Check         [  ] Money Order
   [  ] Cash          

   Please send your payment to:

            WorkHorse Games
            310 W. Ketella Ave.
            Orange, Ca 92867 USA

   All checks must be drawn from a United States bank in U.S. funds only!

4. SHIPMENT OPTIONS

	[   ] E-mail	[   ] Mail


COMPLETE LIST OF WORKHORSE PRODUCTS AVAILABLE:

ITEM  |   DESCRIPTION   |     UNIT      |    RELEASE DATE
CODE  |                 |     PRICE     | 
------|-----------------|---------------|------------------------------------
WHG01 |  Pong           |     10.00     |    Available Now!
WHG02 |  Red Dog        |     10.00     |    Available Now!
WHG03 |  Shifty         |     10.00     |    Available Now!
WHG04 |  Snake          |     10.00     |    Available Now!
WHG05 |  Video Poker    |     10.00     |    Available Now!
WHG06 |  R Decode 1.0   |     10.00     |    Available Now!
WHG07 |  Time Analog    |     10.00     |    Available Now!
WHG08 |  Time 1.2	|     10.00	|    Available Soon
WHG09 |  Alarm Clock    |     10.00     |    Available Now!
WHG10 |  Black Jack     |     10.00     |    Available Now

You can find more WorkHorse games at http://wwww.geocities.com/horsfield2001