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Text File  |  1992-01-04  |  2KB  |  61 lines
  1.  
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  5.                               REGISTRATION FORM
  6.  
  7.        Registration    entitles  the  user  to  full   support,   major
  8.        upgrade  notifications,  discounts on all  programs  and  future
  9.        programs.
  10.  
  11.                                VIDEO POKER SLOT            
  12.                           Version 3.00 Registration 
  13.  
  14.                               Please specify disk size
  15.  
  16.        Registration Fee        ( ) 5 1/4"  ( ) 3 1/2"   $15.OO  _______
  17.  
  18.                                    Foreign orders add   $ 5.OO  _______
  19.  
  20.                                               Total          $  _______
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  23.        Name     _______________________________________________________
  24.  
  25.        Address  _______________________________________________________
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  27.        City     _____________________________ St. ______ Zip __________
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  30.        Computer System ________________________________________________
  31.  
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  33.             Where did you acquire this version of Video Poker Slot
  34.  
  35.        ________________________________________________________________
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  38.                             Comments & Suggestions
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  40.        ________________________________________________________________
  41.  
  42.        ________________________________________________________________
  43.  
  44.        ________________________________________________________________
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  47.         For our records, please indicate your systems display adapter.
  48.  
  49.        ___MONO  ___CGA  ___EGA  ___VGA  ___SVGA    Mouse ___Yes   ___No
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  52.                                         United Innovations Plus
  53.             Make checks payable to:      Post Office Box 21O81
  54.                                         Castro Valley, CA 94546
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