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Text File  |  1996-04-23  |  1KB  |  59 lines
  1. <PRE>
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  4. PRINT THIS Escape Velocity  Registration Form - using your web browser.
  5.  
  6. To register ESCAPE VELOCITY fill in this self-addressed mailer form below in ink with your name
  7. and address and send it with your payment check (staple check within) to:
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  20. ----------  fold  ---------                                ----------
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  22.                                            _______
  23. Graham J. Kus                                       |      |
  24. Vertigo Software                                   |      |    
  25. P.O. Box 5102                                       |______|
  26. Lebanon, NH 03784                        
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  31.                 Graham J. Kus
  32.                 Vertigo Software
  33.                 P.O. Box 5102
  34.                 Lebanon, NH 03784
  35.                 USA
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  43. ----------  fold  ---------                                ----------
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  45. Order:   Please supply registered copy/copies of ESCAPE VELOCITY video game
  46.     (Quantity) ________   x    Registered* Edition  @  $18 each:    $______
  47.     Additional P&P for deliveries ouside the USA,  $4 per order     $______
  48.     Conversion fee for foreign currency payment, $7  per order      $______
  49. Total payment:                                $______
  50.  
  51. Name:        ____________________________________________________
  52.  
  53. Address:    ____________________________________________________
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  55.         ____________________________________________________
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  58. </PRE>
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