HYPERWARE
       13245 SKIOMAH RD.
       APPLE VALLEY, CA. 92307
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       |              ULTIMATE BLACKJACK REGISTRATION FORM               |
       |                   (ENCLOSE REGISTRATION FEE)                    |
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       |  REGISTRANTS NAME: ___________________________                  |
       |  ADDRESS         : ___________________________                  |
       |    "             : ___________________________                  |
       |    "             : ___________________________                  |
       |  TODAYS DATE     : ___________________________                  |
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       |       Please enter the version # of your game  __________       |
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       |       Enclose a check or money order for $10.00.  All reg-      |
       |       istered users will receive the information or files       |
       |       needed to convert their unregisered version to the        |
       |       registered version.                                       |
       |                                                                 |
       |   ===================== ORDER FORM ==========================   |
       |                                                                 |
       |   I WOULD LIKE TO ORDER THE FOLLOWING...                        |
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       |   ULTIMATE BLACKJACK GAME   X (   )   $10.00    $___________    |
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       |   SOUND BLASTER VOICE FILES X (   )   $ 5.00    $___________    |
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       |   SHIPPING AND HANDLING               $ 3.00    $      3.00     |
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       |   Total the amounts and enclose        TOTAL    $___________    |
       |   payment with this form.                                       |
       |                                                                 |
       |             _____ 360k 5 1/4 DISK                               |
       |             _____ 1.20 5 1/4 DISK                               |
       |             _____ 720k 3 1/2 DISK                               |
       |             _____ 1.44 meg 3 1/2 DISK                           |
       |                                                                 |
       |   THANKS                                                        |
       |                                                                 |
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