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Text File  |  1996-03-27  |  2.2 KB  |  63 lines
  1.  
  2.  
  3.                        High N' Low Registration Form
  4.                        -----------------------------
  5.  
  6.                              Mail Orders to:
  7.  
  8.                              Michael Kinser
  9.                              Games Unlimited Software
  10.                              P.O. Box 804
  11.                              Norton, Va 24273
  12.  
  13.  
  14.    Name: _________________________________
  15.  
  16.    Address: ______________________________
  17.  
  18.    Address: ______________________________  (Optional)
  19.  
  20.    City: __________________________  State: _____  Zip: ___________________
  21.  
  22.    Country: ______________________________
  23.  
  24.    Home Phone Number: ____________________
  25.  
  26.  
  27.    BBS Name: ____________________________  Maximum Baud Rate: _____________
  28.  
  29.    BBS Software: ________________________  BBS Phone Number: ______________
  30.  
  31.  
  32.    High N' Low Registered Key File ------- (USA Funds Only!) =  $ __10.00__
  33.  
  34.                                          Shipping & Handling =  $ ___2.00__
  35.  
  36.                            Virginia Residents add Sales Tax  =  $ _________
  37.  
  38.                                              Total Enclosed  =  $ _________
  39.  
  40.    Method of payment will be:   [ ] Check made out to Michael Kinser
  41.                                 [ ] Money Order made out to Michael Kinser
  42.  
  43.    Disk Size: [ ] 5.25DD        I hereby understand and have read the
  44.               [ ] 5.25HD        agreement and warranty set forth in the
  45.               [ ] 3.5DD         documentation.
  46.               [ ] 3.5HD
  47.                                 Signature: ________________________________
  48.    Comments / Suggestions       SIGNATURE IS REQUIRED FOR ALL REGISTRATIONS
  49.  
  50.    ________________________________________________________________________
  51.  
  52.    ________________________________________________________________________
  53.  
  54.    ________________________________________________________________________
  55.  
  56.    ________________________________________________________________________
  57.  
  58.    ________________________________________________________________________
  59.  
  60.    ________________________________________________________________________
  61.  
  62.                   THANK YOU FOR REGISTERING HIGH N' LOW!!!
  63.