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Monster Media Number 15 (Monster Media)(July 1996).ISO
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REGISTER.FRM
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1996-05-23
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2KB
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56 lines
REAL VIDEO BLACKJACK for Windows 95 REGISTRATION
Name _____________________________________________
Company _____________________________________________
Address _____________________________________________
City/State _____________________________________________
Zip Code _________ Country __________________________
Phone ( ) ____-_______ EMail ___________________
DISK SIZE: ( ) 3-1/2" Diskette ( ) CD-ROM Disc
I AM ORDERING:
( ) REAL Video Blackjack ($20)
( ) REAL Video Blackjack & REAL Video Poker ($25)
( ) REAL Video BJ & Poker and Noisy Video Poker & BJ ($30)
( ) Other ___________________________________________
(Other Ultimate products--see help file)
INTERNATIONAL ORDERS
--------------------
Please add $4.00 for shipping if you live outside North America. For
shipping to Canada or Mexico add $2.00. Payment must be in U.S. funds
drawn on a U.S. or Canadian bank. (no charge for shipping within the U.S.)
Amount Enclosed: $_________
Make your check or money order payable to ULTISOFT, Inc.
Mail payment and registration form to ULTISOFT, Inc.
PO Box 5015
Central Point, OR 97502
USA
Payment Method:
___ Check ___ Money Order ___ VISA ___ MasterCard
Credit Card Number #_____ - _____ - _____ - _____ expires ____/____
For credit card orders: Call 1-800-925-3147 (U.S. and Canada)
1-541-857-9229 (International)
1-541-734-3267 (FAX)
----------------------------------------------------------------------------
SURVEY
Do you have a CD-ROM drive? ( ) Yes ( ) No