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Text File  |  1993-09-21  |  2KB  |  55 lines
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  7.                                 Version 2.80
  8.  
  9.                Copyright 1993 by Mark Ham - All Rights Reserved
  10. -----------------------------------------------------------------------------
  11.                   Registration Form
  12. -----------------------------------------------------------------------------
  13. Benefits: You will receive the latest registered version of ISOLATE (with two
  14.           player option and removal of the Shareware Reminder) registered in
  15.           YOUR NAME on a nice new disk!
  16. -----------------------------------------------------------------------------
  17.  
  18. Mail this form along with your check or money order for $10 to:
  19.  
  20.                               Mark Ham (Isolate)
  21.                              130 Springfield Lane
  22.                             Madison, AL 35758-1974
  23.  
  24. -----------------------------------------------------------------------------                                                                  
  25.                         Your complete mailing address:
  26.  
  27.    Name: ____________________________________________________________________
  28.  
  29.  Street: ____________________________________________________________________
  30.  
  31.    City: ____________________________  State: ______________  Zip: __________
  32.  
  33. Country: ____________________________  Phone: (_______)  _______ - __________
  34.  
  35. User Name to appear on program title screen: ________________________________
  36.  
  37. Diskette type preferred: (5.25") (3.5")             (Add $1.00 For 3.5" Disk)
  38.  
  39. Where did you get ISOLATE? __________________________________________________
  40.  
  41. What version of ISOLATE are you currently using? ____________________________
  42.  
  43. Do you have a mouse? (Yes) (No)            Do you have a joystick? (Yes) (No)
  44.  
  45. Graphics Card: (SVGA) (VGA) (EGA) (CGA)    Graphics Card Brand: _____________
  46.  
  47. Comments: ___________________________________________________________________
  48.  
  49. _____________________________________________________________________________
  50.  
  51. _____________________________________________________________________________
  52.  
  53. _____________________________________________________________________________
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