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1995-11-27
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2KB
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61 lines
REAL VIDEO POKER for Windows REGISTRATION
Name ________________________________________
Company ________________________________________
Address ________________________________________
City/State ________________________________________
Zip Code ________________________________________
Country ________________________________________
Phone ________________________________________
DISK SIZE: ( ) 3-1/2" ( ) 5-1/4" ( ) Either Size
I AM ORDERING:
( ) REAL Video Poker ($20)
( ) REAL Video Poker and REAL Video Blackjack ($25)
( ) REAL Video Poker & BJ and Noisy Video Poker & BJ ($30)
( ) Other ___________________________________________
(Other Ultimate products--see help file)
INTERNATIONAL ORDERS
--------------------
Please add $4.00 for shipping if you live outside the U.S. and Canada.
Payment must be in U.S. funds drawn on a U.S. or Canadian bank. There
is no charge for shipping within the U.S. and Canada.
Amount Enclosed: $_________
Make your check or money order payable to ULTIMATE SOFTWARE.
Mail payment and registration form to ULTIMATE SOFTWARE
PO Box 5015
Central Point, OR 97502
USA
Payment Method:
___ Check ___ Money Order ___ VISA ___ MasterCard
Credit Card Number #_____ - _____ - _____ - _____ expires ____/____
For credit card orders: Call 1-800-925-3147 (U.S. and Canada)
1-503-857-9229 (International)
1-503-734-3267 (FAX)
----------------------------------------------------------------------------
Where did you get your shareware copy of this Ultimate Software program?
BBS Internet Shareware Vendor CD-ROM User Group Friend Other
Name of BBS, Vendor, CD, etc. __________________________________________