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Text File  |  1995-06-27  |  2KB  |  58 lines

  1.                           *** REGISTRATION FORM ***
  2.                       Go-Moku for Windows version 2.1
  3.      
  4. 1. PERSONAL INFORMATION 
  5. ~~~~~~~~~~~~~~~~~~~~~~~
  6. Name (to appear on registration):  __________________________________________
  7.  
  8. Address:        _____________________________________________________________
  9.  
  10.         _____________________________________________________________
  11.  
  12. E-mail:         _____________________________________________________________
  13.  
  14.  
  15. 2. ORDERING INFORMATION
  16. ~~~~~~~~~~~~~~~~~~~~~~~
  17. Please "check"        ( ) I already have Go-Moku working,
  18. only one option:        so I only need the registration file.
  19.             ( ) I want to receive full installation 
  20.                 pack including the registration file.
  21.  
  22. Preferred delivery    ( ) FTP  (you will be provided with site name)
  23. methods:        ( ) WWW  (             ditto                 )
  24.             ( ) E-mail  (you must be able to UU-decode)
  25.             ( ) Air Mail (postage fee is required)
  26.                 Disk size:   ( ) 3.5"   ( ) 5.25"
  27. 3. PAYMENT OPTIONS
  28. ~~~~~~~~~~~~~~~~~~
  29. Paying by:        ( )   Personal Cheque
  30.             ( )   Bank Cheque
  31.             ( )   Money Order
  32.  
  33. Price:            ( )   $20(AU) Australian User
  34.             ( )   $20(US) International
  35.              +
  36.             [ ]   $5 if require AirMail
  37.  
  38. Total:            ___________ currency: ________
  39.  
  40.  
  41. 4. GENERAL INFO
  42. ~~~~~~~~~~~~~~~
  43. How have you        ( ) by FTP --> site name:____________________________
  44. obtained the program?   ( ) from Local BBS --> BBS name:_____________________
  45.             ( ) by WWW --> site name:____________________________
  46.             ( ) from friend
  47.             ( ) elsewhere:_______________________________________
  48.  
  49. Please include any comments or suggestions that you may have. Thank you!
  50.  
  51. _____________________________________________________________________________
  52.  
  53. _____________________________________________________________________________
  54.  
  55. Please send cheque/money order and this form to: 
  56.  
  57.         Konstantin Gredeskoul
  58.         4/7 Exhibition Street, Bentleigh, VIC 3204, Australia