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  1.  _____________________________________________________________________________
  2. |   ____      ____      __  __           ____      ____      ______    ____   |
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  8. | ||____||  ||____||  ||  ||  ||       ||____||  ||        ||______  ||____|| |
  9. |_____________________________________________________________________________|
  10.  _____________________________________________________________________________ 
  11. |                                                                             |
  12. |      T H E   M A N I A C' S  --  O F F I C I A L   E N T R Y   F O R M      |
  13. |_____________________________________________________________________________|
  14. |                                                                             |
  15. |     FREE  -  FREE  -  FREE  -   $ 10,000.00   -  FREE  -  FREE  -  FREE     |
  16. |                                                                             |
  17. |  The Championship Tournament is absolutely Free to all Registered Users of  |
  18. |  THE MANIAC. To enter, simply fill out all of the requested information be- |
  19. |  low, sign your full name in the appropriate space, and send a copy of your |
  20. |  Highest Score (Use the Print Screen Command on your Keyboard). Please copy |
  21. |  the Screen that displays the Date, the Length of Game, the Score,  and the |
  22. |  Time on the line directly below the Maniac's Game Board. Please review the |
  23. |  file MANIAC.DOC for particulars.                                           |
  24. |                                                                             |
  25. |  A Registered User must Register his, or her, copy of THE MANIAC within 30  |
  26. |  days, from the date a copy is secured. Please review the file LICENSE.DOC. |
  27. |  This requirement must be followed by all individuals who intend to become  |
  28. |  eligible applicants in THE MANIAC'S $10,000.00 GIVE-A-WAY. You may submit  |
  29. |  as many Entry Forms as you wish.  All Entry Forms must be received by Com- |
  30. |  puter Specialties on, or before, December 31, 1992.                        |
  31. |_____________________________________________________________________________|
  32.  _____________________________________________________________________________ 
  33. |                                                                             |
  34. |               PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION                |
  35. |____________________________________________________ ________________________|
  36. | FULL NAME:                                         | TODAY'S DATE:          |
  37. |                                                    |                        |
  38. |____________________________________________________|________________________|
  39. | MAILING ADDRESS:                                   | HIGH SCORE SUBMITTED:  |
  40. |                                                    |                        |
  41. |______________________________________ _____________|________________________|
  42. | CITY:                                | STATE:      | ZIP CODE:              |
  43. |                                      |             |                        |
  44. |______________________________________|_____________|________________________|
  45. | THE DATE THAT YOU                    | DATE YOU ACTIVATED                   |
  46. | ACTUALLY RECEIVED                    | THE MANIAC ON YOUR                   |
  47. | A COPY OF MANIAC?                    | COMPUTER SYSTEM?                     |
  48. |______________________________________|______________________________________|
  49. |                                                                             |
  50. | THIS ENTRY FORM WILL BE VOIDED BY COMPUTER SPECIALTIES, IF ALL OF THE ABOVE |
  51. | INFORMATION IS NOT COMPLETED IN FULL AND PROPERLY SIGNED BY THE APPLICANT.  |
  52. |                                                                             |
  53. |                                                                             |
  54. | SIGNATURE OF APPLICANT:                                                     |
  55. |_____________________________________________________________________________|
  56.  _____________________________________________________________________________ 
  57. |                                                                             |
  58. |                   PLEASE SEND THE MANIAC'S ENTRY FORM TO                    |
  59. |                                                                             |
  60. |                            Computer Specialties                             |
  61. |                   P.O. Box 5694, Lake Charles, La. 70606                    |
  62. |_____________________________________________________________________________|
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