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  1.                                                                                                                                                                                                     931202
  2. Game Builder 1.0 REGISTRATION FORM
  3.  
  4. To receive a registered copy of Game Builder 1.0, mail this form with payment of the license fee to the address given at the bottom of the form. 
  5.  
  6. •• Special Offer ••
  7. If you use this form or include the number at the top with your payment, take $5.00 off the price of $30.00.
  8.  
  9. • System Information
  10.                                 Color:                __    B&W            __  Color
  11.          Floppy Drive:              __    High Density (1.4 meg)            
  12.                                                                  __  Double Density (800K)
  13.  
  14. • Name:
  15.    __________________________________________________
  16.  
  17. • Mailing Address:
  18.    __________________________________________________
  19.    __________________________________________________
  20.    __________________________________________________
  21.    Country  _____________________ (Outside the USA add $4.00 S&H)
  22.  
  23. • Amount $30.00  Regular Price
  24.                                 -$5.00    Special Offer Discount
  25.                             -------
  26.                                 $25.00  Total
  27.  
  28.  
  29. • Make Checks Payable To and Mail To
  30.  
  31.         John M Dole
  32.         1312 Alton Woods Drive
  33.         Concord NH 03301-7863        
  34.         USA
  35.  
  36. • Thank you for supporting shareware software.
  37.