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REGISTER.FRM
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Text File
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1996-10-15
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2KB
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55 lines
LUCKY STARS VIDEO SLOTS for WINDOWS 95 REGISTRATION
Name _______________________________________________
Company _______________________________________________
Address _______________________________________________
City/State _______________ Zip/Postal Code ______________
Country _______________ Phone ________________________
Email _______________________________________________
DISK SIZE: ( ) 3-1/2" Diskette ( ) CD-ROM Disc
I AM ORDERING:
( ) LUCKY STARS VIDEO SLOTS ($20)
( ) DOUBLE DYNAMITE VIDEO SLOTS ($20)
( ) CHERRY DELIGHT VIDEO SLOTS ($20)
( ) Any Two (mark two above) ($30)
( ) All Three Slot Games ($35)
INTERNATIONAL ORDERS
--------------------
Please add $4.00 for shipping if you live outside North America. For
shipping to Canada or Mexico add $2.00. Payment must be in U.S. funds
drawn on a U.S. or Canadian bank. (No charge for shipping within the U.S.)
Amount Enclosed: $_________
Make your check or money order payable to ULTISOFT, INC.
Mail payment and registration form to ULTIMATE SOFTWARE
PO Box 5015
Central Point, OR 97502
USA
Payment Method:
___ Check ___ Money Order ___ VISA ___ MasterCard
Credit Card Number #_____ - _____ - _____ - _____ expires ____/____
For credit card orders: Call 1-800-925-3147 (U.S. and Canada)
1-541-857-9229 (International)
1-541-734-3267 (FAX)
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SURVEY
Do you have a CD-ROM drive? ( ) Yes ( ) No