To register, please return this form with your registration check or
   money order to:
  
                          Club Software
                          ATT: Richard Williams
                          1506 E. 5th St. Apt.#1
                          West Frankfort IL. 62896


                          
   Name:     _________________________________________________________

   
   Address:  _________________________________________________________

                 _________________________________________________________

                 _________________________________________________________

                 _________________________________________________________


   Phone:   (_____)_____-______  (Optional)

   To help keep track of distribution, where did you receive your copy
   of Club Video Poker for Windows v1.0?

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   Diskette Size:   3.5 [  ]     5.25 [  ]

   Windows Version: Windows 3.1 [  ]   Windows 95 [  ]

   Club Video Poker for Windows v.1.0  Registered Edition. 
   $19.95 U.S. or $24.95 CAN.   (Non-Members)
   $14.95 U.S. or $19.95 CAN.   (Club Members)
   (Includes diskette(s), Shipping and Handling)               $__________

   Make sure Check or money order is payable to:  

   Club Software or Richard Williams.

   Allow 2  weeks delivery on personal checks or 1 week on money orders.  
   
   Thank you for your support and/or interest in Club Software.