TETRIS MAX REGISTRATION (version 2.4)

Dear Mr. Chamberlin,

Tetris Max is simply the most fun any human has ever had. Please rush me my registration code and add me to your list of loyal shareware supporters. I understand that this registration entitles me to any and all future releases of Tetris Max. However, it does not entitle me to free disks from the author- these may be purchased separately.


Name ________________________________________________________________

Company or Organization _____________________________________________

Address _____________________________________________________________

        _____________________________________________________________

        _____________________________________________________________

e-mail address: 
               ______________________________________________________

Name of registrant or organization as you would like it to appear in the 
"registered to" box: 
                    _________________________________________________

[  ]  send my registration code by e-mail rather than paper mail.


Optional Data: Where did you get your copy of Tetris Max? 
[  ] friend               [  ] user group           [  ] online service
[  ] internet archive     [  ] CD-ROM compilation   [  ] BBS
[  ] other
name of source ______________________________________________________

Do you have any comments or suggestions about Tetris Max?

Tetris Max pricing information:

Qty.  Description                              Price each        Total
----------------------------------------------------------------------
      first personal license                       $10.00
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      each additional personal license              $5.00
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      10-machine site license                      $50.00
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      25-machine site license                     $100.00
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      unlimited site license                      $150.00
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      == latest version on disk ==                  $4.00*
						(for materials and shipping)                 
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      == bonus 4-disk set ==	 																					$10.00*
      (includes latest version plus extra
       music, backgrounds, and piece graphics)
----------------------------------------------------------------------
                                           Total Enclosed
----------------------------------------------------------------------

      * only registered users are eligible to purchase disk sets,
        price includes materials and shipping

Make checks payable to Opinicus Microtechnologies.

Acceptable forms of payment (in order of preference):
- a check or money order in U.S. dollars
- an international postal money order in U.S. dollars 
- U.S. cash
- foreign cash


Send mail to:
Steve Chamberlin
Opinicus Microtechnologies
P.O. Box 390180
Cambridge, MA 02139 

Thank you for supporting Tetris Max!