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Text File  |  1990-08-18  |  2KB  |  67 lines

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  5.                               REGISTRATION FORM
  6.  
  7.        Registration    entitles  the  user  to  full   support,   major
  8.        upgrade  notifications,  discounts on all  programs  and  future
  9.        programs.
  10.  
  11.                             ROULETTE (EGA Version)
  12.                           Version 1.OO Registration 
  13.  
  14.                               Please specify disk size
  15.  
  16.        Registration Fee        ( ) 5 1/4"  ( ) 3 1/2"   $15.OO  _______
  17.        If you have previously registered any program
  18.        with United Innovations Plus, deduct $5.OO               _______
  19.        30 ShareWare Versions   ( ) 5 1/4"  ( ) 3 1/2"   $1O.OO  _______
  20.             
  21.                                    Foreign orders add   $ 5.OO  _______
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  23.                                               Total          $  _______
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  26.        Name     _______________________________________________________
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  28.        Address  _______________________________________________________
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  30.        City     _____________________________ St. ______ Zip __________
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  33.        Computer System ________________________________________________
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  35.  
  36.                 Where did you acquire this version of Roulette
  37.  
  38.        ________________________________________________________________
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  41.                             Comments & Suggestions
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  43.        ________________________________________________________________
  44.  
  45.        ________________________________________________________________
  46.  
  47.        ________________________________________________________________
  48.  
  49.        ________________________________________________________________
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  52.         For our records, please indicate your systems display adapter.
  53.  
  54.                     ___MONO    ___CGA    ___EGA    ___VGA
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  58.                                         United Innovations Plus
  59.             Make checks payable to:      Post Office Box 21O81
  60.                                         Castro Valley, CA 94546
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