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Text File  |  1997-07-08  |  1.3 KB  |  47 lines
  1. CyberPet! Registration Form (101t)
  2.  
  3. Please return this form along with your payment to:
  4.  
  5. Moonlight Entertainment
  6. P.O. Box 29254
  7. Honolulu, HI 96820
  8. USA
  9.  
  10. CyberPet! registration is $13.00 plus $2.00 shipping and handling.
  11. 3.5" 1.44MB diskettes will be shipped unless otherwise specified.
  12.  
  13. ___________ CyberPet! registrations @ $13.00 each:  $_______.____
  14.  
  15. Shipping & Handling $2.00 per registration:         $_______.____
  16.  
  17. Total enclosed:                                     $_______.____
  18.  
  19. Payment by:    [  ] Check        [  ] Money Order
  20.  
  21.  
  22. Name:        ____________________________________________________
  23.  
  24. Address:     ____________________________________________________
  25.  
  26. City:        ____________________  State/Prov: __________________
  27.  
  28. Zip/Postal:  ____________________  Phone: _______________________
  29.  
  30. E-Mail:      ____________________________________________________
  31.  
  32.  
  33. Where did you obtain CyberPet!? _________________________________
  34.  
  35. Favorite types of games: ________________________________________
  36.  
  37. Favorite online services or sites: ______________________________
  38.  
  39. _________________________________________________________________
  40.  
  41. Hobbies: ________________________________________________________
  42.  
  43. Age: ______  Sex: ______  Occupation: ___________________________
  44.  
  45.  
  46.                  Thank you for registering CyberPet!
  47.