Tetris Max v2.6 Reg: Please send my registration code and add me to your list of shareware supporters. I understand that this registration entitles me to all future releases of Tetris Max, but does not entitle me to free disks from the author- these may be purchased separately.

Name ________________________________________________________________

Address _____________________________________________________________

        _____________________________________________________________

        _____________________________________________________________

Name of registrant or organization as you would like it to appear in the 
"registered to" box (if different from above): 
                                              _______________________

Qty. Description                                    Price each   Total
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     first machine license                            $10.00
     each additional machine license                   $5.00
     10-machine site license                          $50.00
     25-machine site license                         $100.00
     unlimited site license                          $150.00
     == latest version on disk ==                      $4.00*                 
     == bonus 4-disk set ==

 
   $10.00*
        (includes latest version on disk, plus 
        new music soundtracks, background texture
        collections, and piece graphics)
     surcharge if ordering disk sets for               $4.00
        international delivery
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                                                Total Enclosed:
 
Make checks payable to "Opinicus Microtech".

      * only registered users are eligible to purchase disk sets,
        price includes materials and shipping

Acceptable forms of payment (in order of preference):
• a check or money order in U.S. dollars
• an international postal money order in U.S. dollars 
• U.S. cash

Send mail to:
Opinicus Microtech
P.O. Box 390180
Cambridge, MA 02139 

Optional Data: Where did you get your copy of Tetris Max?
[  ] online service       [  ] internet archive     [  ] local BBS
[  ] friend               [  ] other   
name of source _______________________________________________________