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Text File  |  2000-03-21  |  2KB  |  77 lines
  1. To register any of our products online, go to www.cybergame2000.com
  2.  
  3. You can also register by Mail to:
  4.  
  5.                                 CyberGame2000
  6.                                 599B Yonge Street, Suite 254
  7.                 Toronto, Ontario  M4Y 1Z4
  8.                 CANADA
  9.  
  10.  
  11. You may use the following form. If you have difficulties, please
  12. send email to sales@cybergame2000.com
  13.  
  14.  
  15. ----> ........................................................... <----
  16.  
  17.                          Registration Form
  18.                          =================
  19.  
  20.  
  21.  
  22. Product:                        # COPIES           AMOUNT:
  23. =============================== ================== ====================
  24.  
  25. ...........................     ________________   $ ..... (US)
  26.  
  27. ...........................     ________________   $ ..... (US)
  28.  
  29. ...........................     ________________   $ ..... (US)
  30.  
  31. ...........................     ________________   $ ..... (US)
  32.  
  33. ...........................     ________________   $ ..... (US)
  34.  
  35. ...........................     ________________   $ ..... (US)
  36.  
  37. ...........................     ________________   $ ..... (US)
  38.  
  39.  
  40.  
  41. TOTAL...........................................   $______________
  42.  
  43.  
  44. PAYMENT BY:
  45.  
  46.    Intl. Check/Money Order No.__________ enclosed for $_____________
  47.  
  48. OR CHARGE to my MasterCard/Visa
  49.  
  50.    Card Number:  ___________________________________________________
  51.  
  52.    Name on Card: ___________________________________________________
  53.  
  54.    Exp. Date:    ___________________________________________________
  55.  
  56.      
  57.    Signature of Cardholder:    _____________________________________
  58.  
  59. =====================================================================
  60.  
  61. Contact Details:
  62.  
  63. NAME:       ________________________________________________________
  64.  
  65. STREET:     ________________________________________________________
  66.  
  67.             ________________________________________________________
  68.  
  69. CITY/STATE: _______________________  POST CODE: ____________________
  70.  
  71. COUNTRY:    ________________________________________________________
  72.  
  73. PHONE:      _______________________  FAX: __________________________
  74.  
  75. EMAIL:      ________________________________________________________
  76.  
  77.