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Text File  |  1995-02-17  |  1KB  |  45 lines
  1.  
  2.  
  3. Registration form for Math Bingo V1.1
  4.  
  5.  
  6.           Name:_______________________________________
  7.  
  8.           Address:____________________________________
  9.  
  10.           City:_______________________________________
  11.  
  12.           State:____      Zipcode: __________-________
  13.  
  14.           Country:_________________________
  15.  
  16.  
  17.  
  18.                   Register Math Bingo  _____   ($6.95)
  19.                              OR
  20.                   Order Math Bingo Pro _____  ($9.95)            
  21.               
  22.      PA residents include 6% sales tax _______________
  23.  
  24.  Overseas residents add $3.00 shipping _______________
  25.  
  26.                              Total _______________
  27.  
  28.  
  29.           Please indicate disk size: 
  30.                               
  31.                               3.5" _____
  32.                              
  33.                              5.25" _____
  34.  
  35.  
  36.           Please return this form, along with a check to:
  37.  
  38.                   LatticeWork Software
  39.                   P. O. Box 362
  40.                   Lafayette Hill, PA 19444
  41.                   USA
  42.  
  43.  
  44.  Math Bingo V1.1 (acr495)
  45.