home *** CD-ROM | disk | FTP | other *** search
/ Adventures in Heaven 2 / adventuresinheaven2powergamesfordosandwindows.iso / dos / puzzles / amazing1 / register.doc < prev    next >
Text File  |  1992-12-02  |  1KB  |  51 lines
  1.  
  2.  
  3.  
  4.                              REGISTRATION
  5.  
  6.  
  7.         Enclosed is $________ for registration fees.
  8.  
  9.  
  10.         NAME:_______________________________________________
  11.  
  12.         ADDRESS:____________________________________________
  13.  
  14.         CITY:_______________________________________________
  15.  
  16.         STATE:______     ZIPCODE:___________________
  17.  
  18.         
  19.         I am registering the following programs:
  20.  
  21.         ____French  $12.00     ____German  $12.00
  22.  
  23.         ____Greek   $12.00     ____Italian $12.00
  24.  
  25.         ____Spanish $12.00     ____Russian $12.00
  26.  
  27.         ____AMazing $12.00
  28.  
  29.  
  30.         Wishes, desires, demands and comments:______________
  31.  
  32.         ____________________________________________________
  33.        
  34.         ____________________________________________________
  35.  
  36.         ____________________________________________________
  37.  
  38.  
  39.         Send the money to: 
  40.  
  41.                     Arthur Wells, Jr.
  42.                     1171 Cragmont Ave.
  43.                     Berkeley, CA 94708
  44.  
  45.  
  46.  
  47.  
  48.  
  49.  
  50.  
  51.