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Text File  |  1993-12-01  |  1KB  |  43 lines
  1. QUENZAR'S CAVERNS(C) REGISTRATION FORM 
  2. Version 1.2     
  3.  
  4.                 Your Name:  ____________________________________________
  5.  
  6.                   Address:  ____________________________________________
  7.  
  8.                             ____________________________________________
  9.  
  10.                   Country:  ____________________________________________
  11.  
  12.                State/Prov:  ____________________________________________
  13.  
  14.           Zip/Postal Code:  ____________________________________________
  15.  
  16.  
  17.          Telephone Number:  ____________________________________________
  18.           (optional)        (include area/country code)
  19.  
  20.              Date Ordered:  Month ________  Day _____  Year ______
  21.  
  22.  
  23. Registration Fee For Quenzar's Caverns 1.2 is:     $6.00 U.S.
  24. ----------------------------------------------  or $7.75 Canadian
  25.  
  26. Make out a Check or Money order to:
  27.    =========
  28.    Peter Lok
  29.    =========
  30.  
  31. Registration Form is mailed to:
  32.    Peter Lok
  33.    Pulse Ventures Ltd.
  34.    1118 - 17th Ave., NW
  35.    Calgary, AB
  36.    Canada
  37.    T2M-0P6
  38.  
  39. How did you get Quenzar's Caverns?
  40. ----------------------------------
  41. [ ] CompuServe                  [ ] Other BBS __________________
  42. [ ] Other      _________________________________________________
  43.