Psycho Squares Deluxe Order Form

[  ] YES!  I want to order the Registered Version of Psycho Squares Deluxe.
I want to be able to play thirteen levels with my spouse and friends.
I want to have special privilages like access to the Dark Unicorn
Support Area on Secret Service BBS.  I understand that my name and
registration number will be imbedded into the game to deter me from
giving copies away to my friends and I am responsible for any copies
that get passed around.

I am enclosing $10 money order, cashier's check, or personal check 
(I realize that if I send you a personal check that it make take
forever for it to clear and you won't mail me the game until it 
does) to:

Shane Monroe  (Make checks payable to him, too.)
c/o Dark Unicorn Productions
110 S. Cranford 6-F
Goose Creek, SC  29445

Mail all this good stuff to:

Name _______________________  Mr. Miss. Mrs. or Ms. (optional)

Address ____________________________________________ Apt. ____

City ________________________ State ____ Zip _________________

Evening Phone (optional) _____________________________________

Questionare (Optional)

1. Amiga Model Owned:  A1000  A500  A2000  A3000  A4000  A600  A1200

2. Primary Use:  Games  Video  Productivity  Programming  Other

3. Age of Primary User:  Under 18  18-25  25-35  35-45  45-65  65+

4. Peripherals owned (circle all that apply):

    Hard Disk   Modem   Extra 3.5" Drive   Toaster   OpalVision

    One Meg Fatter Agnus   Extra Fast Ram   Sysquest Drive

5. What other computers do you use?  _______________________________

6. Had you heard of Dark Unicorn Productions before getting this game? ____

7. Have you read our DARK UNICORN DISPATCH newsletter?  ____
   If not, would you be interested in receiving a copy? ____

8. Have you played Michael Welch's SCORCHED TANKS? ____
   If so, are you a registered user? ____

9. Would you purchase the game WOLFENSTEIN 3D if were available for the
   Amiga? ____  If so, what would you think a reasonable price would be
   for this game if it were as good as or better than the original? $_____

10. Are you interested in receiving information on new products? ____