Cobra Gunship Order Form                                       Rev. 14NOV1997
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The unregistered version of Cobra Gunship lets you play only the first six
missions.  It also limits the equipment you can buy.

Registering Cobra Gunship lets you play all 31 missions, load external
missions, and buy all of the weapons.

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ORDERING

You may register the following ways:

1) Order on our web site (credit-card only) for a $1.00 discount:

      http://www.elys.com/

2) Fill out this form and mail or fax it to us for a $0.50 discount.
   
      EMania
      c/o Agile Systems, Inc.
      P.O. Box 221
      Raritan, NJ  08869-0221

      (908) 369-1317 FAX

3) Place an order by telephone (credit-card only):

      (888) 369-0047  (U.S. only, 9am-5pm Eastern Time)
         or 
      (908) 369-0084  (International, 9am-5pm US Eastern Time)


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REGISTRATION AND DELIVERY INFORMATION

We will issue you a serial number based upon the name you write below.  It
will be e-mailed to if you provide an e-mail address below.  If you do not
have an e-mail address or wish to receive a printed receipt, you may purchase
a post card or FAX receipt.


Name (as it appears on the credit card or check):

_____________________________________________________________________________

Address (Credit Card address please): _______________________________________

_____________________________________________________________________________

City: _______________________________________________________________________

State/Province: ________________________  Zip/Postal Code: __________________

Country: ____________________________________________________________________

E-Mail Address (Internet style): ____________________________________________

Telephone Number: ___________________________________________________________

Fax Number: _________________________________________________________________


 [ ] Please send me e-mail announcements about future Elysium Digital, L.L.C.
     products.  (Your e-mail address will not be given out to anyone else.)

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PRODUCT ORDER INFORMATION

Cobra Gunship Registration w/ Discount.................... $21.00      $21.00
Discount for Postal Mail/Fax Ordering.....................-$ 0.50     -$ 0.50
                                                                     --------
Discounted Price...................................................    $20.50 

You will be e-mailed your serial number.  Additional
delivery methods can be purchased:

[ ] Post Card Receipt..................................... $ 1.00    ________

[ ] Fax-back (USA only)................................... $ 1.50    ________

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Subtotal...........................................................  ________

New Jersey residents add 6% sales tax..............................  ________

                                                                     ========

                                                            TOTAL:   ________


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PAYMENT INFORMATION

We're sorry, we cannot accept cash payment.

Payment Method: 

[ ] Credit Card                           [ ] Check (postal mail orders only)

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If you are paying by credit card, please complete the following:

Indicate type of Credit Card:

[ ]   Visa 
[ ]   Master Card 
[ ]   American Express 

Credit Card Number: _________________________________________________________

   Expiration Date: _________________________________________________________

         Signature: _________________________________________________________