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Text File  |  1994-09-01  |  2KB  |  67 lines
  1.  
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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.                                   POKER SLOT            
  12.                           Version 2.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.        ShareWare Versions      ( ) 5 1/4"  ( ) 3 1/2"   $1O.OO  _______
  20.          (Other Games)   
  21.                                    Foreign orders add   $ 5.OO  _______
  22.  
  23.                                               Total          $  _______
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  26.        Name     _______________________________________________________
  27.  
  28.        Address  _______________________________________________________
  29.  
  30.        City     _____________________________ St. ______ Zip __________
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  33.        Computer System ________________________________________________
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  35.  
  36.                Where did you acquire this version of Poker Slot
  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       Mouse ___Yes   ___No
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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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