PROGRESSIVE PRODUCTS
                        P.O. Box 1575
                    Paso Robles, CA 93447


                         ORDER FORM
                         ==========


Name________________________________________________________

Street Address______________________________________________

City _____________________________ State ____ ZIP __________

Country (Leave blank for USA) ______________________________

Have you registered with use before? [ ] Yes [ ] No

What software did this order form come with ________________

Where did you get the software from ________________________

Programs you are ordering/registering:

[ ]  Head Banger #1 Sliding Puzzle Game ................ $15

[ ]  PC-Nag ............................................ $25

[ ]  Both Head Banger #1 and PC-Nag .................... $30

Disk size:  [ ] 5 1/4" [ ] 3 1/2"

Amount enclosed: $________ (Calif. residents add sales tax.)

Payment by:  [ ] Check  [ ] Money Order
             [ ] Visa   [ ] MasterCard

Card number: ___________________________________________

Expiration date: _____/_____ (MM/YY)


Signature:   ___________________________________________

Please make check or money order payable to: Progressive Products

Mail to:  Progressive Products
          P.O. Box 1575
          Paso Robles, CA 93447