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Text File  |  1993-01-18  |  2KB  |  59 lines
  1.  
  2.  
  3.                       SoftWare Delight
  4.                KENO ROYALE REGISTRATION FORM
  5.  
  6.  Quantity          Description            Price     Total    WHERE RECEIVED:
  7.  -----------------------------------------------------------  [ ] Free BBS
  8.  |      | Keno Royale                 |  $12.50  |         |
  9.  -----------------------------------------------------------  [ ] Pay  BBS
  10.  |      | Deluxe Keno Royale          |  $22.50  |         |
  11.  -----------------------------------------------------------  [ ] User Group
  12.  |      | Shipping and Handling       |   $2.50  |         |
  13.  -----------------------------------------------------------  [ ] Friend
  14.  |      | Shipping Outside USA        |   $7.00  |         |  
  15.  -----------------------------------------------------------  [ ] Vendor
  16.                            Total Amount Enclosed |         |
  17.                                                  -----------  [ ] Other
  18.  
  19.  [ ] CASH    [ ] Check    [ ] MONEY ORDER        NAME OF VENDOR, BBS, ETC.
  20.  
  21.  Size of Disk:  --- 5.25"  --- 3.5"           --------------------------------
  22.  
  23.  
  24.  Make checks payable to Norman Sailer.
  25.  Personal checks must be drawn on a US bank.      Orders from
  26.  Outside the U.S. - Use International Money Order (U.S. Funds)
  27.  
  28.  
  29.  Name: _______________________________________________________________
  30.  
  31.  Address: ____________________________________________________________
  32.  
  33.           ____________________________________________________________
  34.  
  35.  City: _______________________________________________________________
  36.  
  37.  State: ___________________________ Zip / Postal Code: _______________
  38.  
  39.  Country: ____________________________________________________________
  40.  
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  43.  
  44.  Comments, Suggestions: ______________________________________________
  45.  
  46.  _____________________________________________________________________
  47.  
  48.  _____________________________________________________________________
  49.  
  50.  _____________________________________________________________________
  51.  
  52.  
  53.           Mail to:            Software Delight
  54.                               c/o  Norman Sailer
  55.                               2521 W. Sunnybrook
  56.                               Wichita, KS.  67217
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