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  1.      |--------------------------------------------------------------------|
  2.      |       /**** Lugnut Math City V2.2 -- Registration Form ****/       |
  3.      |--------------------------------------------------------------------|
  4.      | Please complete this form and mail to:                             |
  5.      | Paul T. Dawson, P.O. Box 682, Chincoteague, Virginia 23336 U.S.A.  |
  6.      |--------------------------------------------------------------------|
  7.      | In Australia only, please read LUGNUT.TXT for special offer!       |
  8.      |--------------------------------------------------------------------|
  9.      |                                                                    |
  10.      | Your Name:                                                         |
  11.      |           ________________________________________________________ |
  12.      |                                                                    |
  13.      | Address:                                                           |
  14.      |           ________________________________________________________ |
  15.      |                                                                    |
  16.      |                                                                    |
  17.      |           ________________________________________________________ |
  18.      |--------------------------------------------------------------------|
  19.      | Option One - Single Registration - $10.00 (  )                     |
  20.      |                                                                    |
  21.      | This pays for Lugnut Math City only.                               |
  22.      | You will receive the latest version, and one free disk.            |
  23.      | Choose ONE free disk: Googol Math( )  Bonus( )  Googol Review( )   |
  24.      | Flashcards( )  Paul's Classroom Math( )  Wolfie's Music Games( )   |
  25.      | Salad Scribble-Win31( )  Googolpede-Win31( )  Cheezi-Win31( )      |
  26.      |--------------------------------------------------------------------|
  27.      | Option Two - Super Registration - $35.00 (  )                      |
  28.      |                                                                    |
  29.      | This pays for ten complete programs at once! You will receive the  |
  30.      | latest versions of: Googol Math Games, Googol Bonus, Googol Review,|
  31.      | Lugnut Math City, Flashcards, Classroom Math, Wolfie's Music Games,|
  32.      | Salad Scribble (Win31), Googolpede (Win31), and Cheezi (Win31)!!!  |
  33.      |--------------------------------------------------------------------|
  34.      | Foreign Orders - Please send USA funds payable through a USA bank. |
  35.      |--------------------------------------------------------------------|
  36.      | 3 1/2 inch disks...          |     | RAM Memory...                 |
  37.      |                              |     |                               |
  38.      |        Regular  720 K   (  ) |     |   (     )K   or  (     )Megs  |
  39.      |   High-density 1.44 Meg (  ) |     |-------------------------------|
  40.      |------------------------------|     | Display Type...               |
  41.      | 5 1/4 inch disks...          |     |                               |
  42.      |                              |     |   CGA (  ) EGA (  ) VGA (  )  |
  43.      |        Regular  360 K   (  ) |     |-------------------------------|
  44.      |   High-density  1.2 Meg (  ) |     | (EGA required for most games) |
  45.      |--------------------------------------------------------------------|
  46.      | Name of Distributor where you found Lugnut Math City...            |
  47.      |                                                                    |
  48.      |                                                                    |
  49.      |--------------------------------------------------------------------|
  50.      | Do you have a hard disk?  Yes (  )  No (  )                        |
  51.      | If yes, are self-extracting archive files OK?  Yes (  )  No (  )   |
  52.      |--------------------------------------------------------------------|
  53.      | Names and ages of players...                                       |
  54.      |                                                                    |
  55.      |                                                                    |
  56.      |                                                                    |
  57.      |                                                                    |
  58.      |--------------------------------------------------------------------|
  59.      |             /**** "Thank you very much!"  P.T.D. ****/             |
  60.      |--------------------------------------------------------------------|
  61.