BOX SCORE(TM) SECOND EDITION Fax/Mail Order Form 

       $19.95(U.S.$) plus $6.00 Shipping (Win/Mac CD-ROM)
          (N.Y. State residents add local sales tax)  

 Complete the following form, print and fax to (717) 871-9959

             Or Order by Phone at: (800) 334-2722
  Or Order Online and download now at: www.playboxscore.com

                     Payment Information  

  Name as it appears 
  on the Credit Card:_______________________________________

  Credit Card Number:_______________________________________
                          (Visa/MasterCard/Discover)

  Expiration Date:   ____________  Type of card: ___________
 

  Full Name:         _______________________________________

  Street Address:    _______________________________________

  City:              _______________________________________

  State:             ______________  Zip Code: _____________

  Country:           _______________________________________

  Phone Number or E-mail (optional):________________________ 
 
          Shipping Information If Different Then Above

  Ship to:           _______________________________________

  Street Address:    _______________________________________

  City:              _______________________________________

  State:             ______________  Zip Code: _____________

  Country:           _______________________________________

 
  Make Checks payable to: Box Score Entertainment, Inc.
  (Checks must be drawn on U.S. or Canadian Bank only.)

  Send Mail Orders to:  Box Score Entertainment, Inc.
                        P.O. Box 428
                        State Highway #10
                        Delhi, NY 13753