GameHack Pro Registration


     To register, please return this form with your registration payment to:

                          [ghp Registration]
                          Mariusz S. Jurgielewicz
                          Pilawska 2/1
                          50-538 Wroclaw
                          Poland
                          
                          - or -

                          mordor@mail.com


   Module:   ____________________________________[ghp.exe or ActiveX editor *.dll]

   Name:     ____________________________________

   Address:  ____________________________________________________________

             ____________________________________________________________

             ____________________________________________________________

   Email Address:________________________
   
   Version (xx.xx.xx.xx):________________________
   
   Source:________________________
   (where did you find this program?)

 Please list the manufacturer and model of the following from your computer:

   VGA Card (i.e. Stealth 64 PCI) _________________________
   
   3D Accelerator (i.e. Diamond Monster 3D)  _________________________

   Sound Card (i.e. Sound Blaster AWE32) ___________________________________

   CPU Type and Speed (i.e. Cyrix 686; Intel Pentium 150) __________________

   Operating System (i.e. MS-DOS v6.22; Win95) _______________________

   Comments: ____________________________________________________________
(Suggestions)
             ____________________________________________________________

             ____________________________________________________________

             ____________________________________________________________

         The price is $10 U.S (or your local equivalent).
    Please make Cheques or Money Order or EuroCheque payable to:
                    Mariusz S. Jurgielewicz