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Text File  |  1996-05-07  |  1KB  |  42 lines

  1. Registration form for Penny Penguin's Math Bingo <WIN95> V2.4
  2.  
  3.  
  4.           Name:_______________________________________
  5.  
  6.           Address:____________________________________
  7.  
  8.           City:_______________________________________
  9.  
  10.           State:____      Zipcode: __________-________
  11.  
  12.           Country:_________________________
  13.  
  14.  
  15.  
  16.         Order Penny Penguin's Math Bingo ____________  $9.95            
  17.               
  18.        PA residents include 6% sales tax _____________
  19.  
  20.      North America shipping and handling _____________  $3.00
  21.           Overseas shipping and handling _____________  $5.00
  22.  
  23.                                    Total _____________
  24.  
  25.  
  26.           Please indicate disk size: 
  27.                               
  28.                               3.5" _____
  29.                              
  30.                              5.25" _____
  31.  
  32.  
  33.           Please return with a check in US funds drawn on a US bank to:
  34.  
  35.                   LatticeWork Software
  36.                   P. O. Box 362
  37.                   Lafayette Hill, PA 19444
  38.                   USA
  39.  
  40.  
  41.  Penny Penguin's Math Bingo <WIN95> V2.4(zdnet596)
  42.