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Text File  |  1993-09-22  |  2KB  |  56 lines

  1.   ------------------------------------------------------------------------
  2.                                Registration Form
  3.   ------------------------------------------------------------------------
  4.  
  5.    Qty   Description                    Price     Total
  6.   +----+-------------------------------+--------+-------+
  7.   |    | SafeCracker!                  |  $5.00 |       |
  8.   +----+-------------------------------+--------+-------+
  9.   |    | DOS FORMAT Shell for DOS 5/6  | $10.00 |       |
  10.   +----+-------------------------------+--------+-------+
  11.   |    | DOS FORMAT Shell for DOS 3.3  | $10.00 |       |
  12.   +----+-------------------------------+--------+-------+
  13.   |    | Utility Disk #1               | $15.00 |       |
  14.   +----+-------------------------------+--------+-------+
  15.   |    | BlackJack                     |  $5.00 |       |
  16.   +----+-------------------------------+--------+-------+
  17.   |    | Tabloids                      |  $5.00 |       |
  18.   +----+-------------------------------+--------+-------+
  19.   |    | HS-DOS                        |  $5.00 |       |
  20.   +----+-------------------------------+--------+-------+
  21.                      SHIPPING/HANDLING |  FREE  |  0.00 |
  22.                                        +--------+-------+
  23.                                          TOTAL  |       |
  24.                                                 +-------+
  25.   Make checks/money orders payable to: Lee Sluga
  26.  
  27.   Disk Size:  ___ 5.25"  ___ 3.5"
  28.  
  29.   Graphics: ___ Mono  ___ Color
  30.  
  31.   Computer: ___ 8088  ___ 286  ___ 386SX  ___ 386  ___ 486
  32.  
  33.   On a 1-10 scale, I would rate SafeCracker! a: ___
  34.  
  35.   I play this game: ___ every day ___ often ___ once in a while
  36.  
  37.   I play this game at: ___ work ___ school ___ home ___ a friend's
  38.   
  39.   Name:  __________________________________________________________________
  40.   
  41.   Address:  _______________________________________________________________
  42.   
  43.   City/State/Zip:  ________________________________________________________
  44.  
  45.   Suggestions/Comments/Ideas:
  46.  
  47.   ------------------------------------------------------------------------
  48.  
  49.   ------------------------------------------------------------------------
  50.  
  51.                   Send to:
  52.                                    Lee Sluga
  53.                                  HeliX Software
  54.                               3056 Bunker Hill Rd.
  55.                                Randolph, NY 14772
  56.