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Text File  |  1994-05-21  |  2KB  |  50 lines
  1. Print and mail this form to:
  2.                         Kevin L. Gong
  3.                         Polyominoes 5.0
  4.                         1302 Navellier St.
  5.                         El Cerrito, CA 94530-2449
  6. From:
  7.     Name____________________________________________
  8.  
  9.     Address__________________________________________
  10.  
  11.     City, State, ZIP____________________________________
  12.  
  13.     E-Mail____________________                         Date_____________
  14.  
  15. Quantity     Item                                                                                                                                    Price            Total
  16.  
  17. _______  Registration fee                                                                                             $8.00         _______
  18.  
  19. _______  Site registration fee*                                                                            $20.00         _______
  20.  
  21. _______  Disks with updates ($2 in US, $3 outside)                                _______
  22.  
  23.                                                                                                                                                                              Total         _______
  24.  
  25. * A site registration fee is for settings such as a classroom with multiple machines and multiple users.  The fee allows the program to be run on all machines at once.
  26.  
  27. All amounts are in U.S. currency.  Foreign orders:  if you cannot send U.S. currency, then send me other items worth about the same amount (e.g., postcards, stamps, disks, anything else you can think of).
  28.  
  29. Please circle the appropriate information (and fill in the blanks) about the Macintosh you run Polyominoes on:
  30.  
  31.     Macintosh:  Classic____  Color Classic____   LC____   II____   Quadra_____   Performa_____   PowerBook_______  Power Mac_______ Other______
  32.  
  33.     System:   6.__   7.___    Other__________
  34.  
  35. Monitor:  black/white     grayscale        color
  36.                             9-inch    12-inch   13-inch    14-inch     16-inch    Other_____________
  37.  
  38. Where did you obtain Polyominoes from?
  39.                     CompuServe                                            America Online                                   BMUG BBS
  40.                                   comp.binaries.mac                   sumex.stanford.edu
  41.             Shareware book____________                 Other___________
  42.  
  43. Make checks payable to:       Kevin Gong
  44.  
  45. You should receive your code within a few weeks.  Thank you for supporting Shareware!
  46.  
  47. Comments:  (What changes would you most like to see?)
  48.  
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