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REGISTER.TXT
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1994-03-16
|
4KB
|
45 lines
|----------------------------------------------------------------------------|
| Street Shuffle Registration Form |
|----------------------------------------------------------------------------|
| Please complete all questions in this section: |
| |
| Name:_____________________________________________________________________ |
| |
| Street Address:___________________________________________________________ |
| |
| City:________________________________ State:________ Zip:_________________ |
| |
| What type of diskettes do you require? (Check one): |
| 3 1/2" DS/HD (1.4 mb) 1 disk ___ 3 1/2" DS/DD 2 disks (720 kb) ___ |
| 5 1/4" DS/HD (1.2 mb) 1 disk ___ 5 1/4" DS/DD 4 disks (360 kb) ___ |
| |
| The registration fee for Street Shuffle is $7.00 US + $3.00 Shipping and |
| Handling. You need not include the Shipping and Handling fee if you |
| include the needed blank diskettes and a self-addressed, stamped envelope. |
| |
| Check One: |
| I have enclosed payment of $10.00 ___ |
| I have enclosed payment of $7.00, all diskettes and an SASE ___ |
|----------------------------------------------------------------------------|
| Completion of the following information is optional: |
| |
| What version of Windows (or OS/2) are you using?:______ |
| |
| Where did you obtain this copy of Street Shuffle?: |
| Bulletin Board Service: Name:______________________ Phone #:______________ |
| Friend:___ |
| Other:____________________________________________________________________ |
| |
| Any questions, comments, or future changes you would like to see made?: |
| __________________________________________________________________________ |
| __________________________________________________________________________ |
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| Send your check or money order payable to Max Eissler and this form to: |
| |
| Street Shuffle Registration |
| 4645 East Glen Ridge Circle |
| Winston, GA 30187 |
| |
| Please allow 2 to 3 weeks for deliveries within the United States. |
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