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Text File  |  1995-12-09  |  3.8 KB  |  70 lines

  1.                          REGISTRATION FORM       December 10, 1995
  2.                          =================
  3.                           Kurt W. Dekker
  4.                           P.O. Box 10342
  5.                        Costa Mesa, CA  92627
  6.                   Internet email:  kwd@netcom.com
  7.                        Serial Number:  1076
  8.  
  9. Ship To:_______________________________ (Name)
  10.  
  11.         _______________________________ (Address)
  12.  
  13.         _______________________________ (Include Zip)
  14.  
  15. Phone:(_____)__________________ Email Address:____________________
  16.  
  17. IMPORTANT:  Specify Shipping:  ___ 3.5" 720K    ___ 3.5" 1.44MB
  18.                                ___ 5.25" 360K   ___ 5.25" 1.2MB
  19.                                ___ Email (include address above!!!)
  20. +=================================================================+
  21. | Product Name/Description                     |  Price  | Total  |
  22. +==============================================+=========+========+
  23. |>LUNAR - Lunar Lander (COMBAT VERSION!)       |   $12   |       <|
  24. +----------------------------------------------+---------+--------+
  25. |>RALLY-K - Car chase action a-la Rally-X      |   $10   |       <|
  26. +----------------------------------------------+---------+--------+
  27. |>ROF - Revenge Of Frogger (2 games in one)    |   $10   |       <|
  28. +----------------------------------------------+---------+--------+
  29. |>ROX - Blast rocks in outer space             |   $10   |       <|
  30. +----------------------------------------------+---------+--------+
  31. |>DEFEND - The Defender game                   |   $10   |       <|
  32. +----------------------------------------------+---------+--------+
  33. |>KERBOOM! - Crazy criminal drops bombs on you |   $10   |       <|
  34. +----------------------------------------------+---------+--------+
  35. |>METEOR - Meteor Mission - rescue astronauts  |   $10   |       <|
  36. +----------------------------------------------+---------+--------+
  37. |>KSI - Kurt's Spaced-Out Invaders             |   $10   |       <|
  38. +----------------------------------------------+---------+--------+
  39. | SCUD - The Missile Command game              |   $10   |        |
  40. +----------------------------------------------+---------+--------+
  41. | STAL - Stalactites - fast-paced fun          |   $10   |        |
  42. +----------------------------------------------+---------+--------+
  43. | SWAR - Space War - two players only          |   $10   |        |
  44. +----------------------------------------------+---------+--------+
  45. | VIPER - the Serpentine game                  |    $8   |        |
  46. +----------------------------------------------+---------+--------+
  47. | ACK - Ack-Ack Attack; parachutist nightmare! |    $8   |        |
  48. +----------------------------------------------+---------+--------+
  49. |                           ***Shipping and Handling***  |  $2    |
  50. +----------------------------------------------+---------+--------+
  51. |                                              |  TOTAL: |        |
  52. +==============================================+=========+========+
  53. I strive to make playable and enjoyable arcade games for the PC
  54. compatible line of computers.  If you would take just a moment to
  55. provide me some feedback on the game you play tested, I will send
  56. you a FREE UPGRADE if I make the suggested
  57. modifications/improvements!
  58.  
  59. 1.    What game(s) did you play?___________________________________
  60.  
  61. 2.    Please rate the following areas from 1 (low) to 5 (high):
  62.  
  63.                                              Lowest        Highest
  64.             Graphics                           1   2   3   4   5  
  65.             Sound                              1   2   3   4   5  
  66.             User Interface (scoring, etc.)     1   2   3   4   5  
  67.             Documentation/Help                 1   2   3   4   5  
  68.  
  69. Thank you very much for your feedback!
  70.