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register.txt
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1997-06-11
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62 lines
==================================================================
StickSoft REGISTRATION FORM - FAX SHEET [Fax number: (503) 774-9243]
PAGE 1 OF 1
==================================================================
BLAST DOORS
Name (please print)___________________________________________________________
Address ______________________________________________________________________
Address ______________________________________________________________________
City _______________________ St./Prov. _________________ ZIP/Code ____________
Country (if not USA) ____________________ Phone/Fax __________________________
Total Payment: $______________
Notes: Payment must be in U.S. dollars and drawn against a U.S. bank.
Make checks payable to "StickSoft Corporation".
Cash sent by mail can be stolen. Sticksoft is not responsible
for funds lost in this fashion.
Payment type: [ ] Visa [ ] MasterCard [ ] Discover
[ ] Check [ ] Money Order [ ] Cash
Card number: _________________________________________________________________
Expiration date: _____/_____ (MM/YY) Signature: _____________________________
Mail to: StickSoft Corporation
3959 SE Hawthorne Blvd. Ste. 264
Portland, OR 97214
Phone: (503) 774-9243
Where do you get or buy StickSoft shareware games (check favorite two only)?
[ ] CompuServe
[ ] America Online
[ ] HappyPuppy.Com
[ ] Other Online Site -- Please write name:
[ ] Shareware Catalog -- Please write name:
[ ] Work, a friend or a relative
[ ] Retail store, off a rack, in a box or other simple packaging
[ ] CD-ROM disk
[ ] Other:__________________________________________________________________
What do you like or dislike about StickSoft, our games, business with us, etc.?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Thank you!