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  1. Memory game 95 v1.1a REGISTRATION FORM (pay directly to the Author)
  2. -------------------------------------------------------------------
  3.  
  4. Name:              _________________________________________________
  5.  
  6. Registration name: _________________________________________________
  7. (This will be used to create the code, and this will appear on the
  8. About dialog after registration (Can be the same as Name))
  9.  
  10. Mailing address:   _________________________________________________
  11.  
  12.                    _________________________________________________
  13.  
  14.                    _________________________________________________
  15.  
  16.                    _________________________________________________
  17.  
  18. E-Mail Address:    ______________________
  19.  
  20. Where did you get Memory game: _____________________________________
  21.  
  22.                    _________________________________________________
  23.  
  24. Suggestions:       _________________________________________________
  25.  
  26.                    _________________________________________________
  27.  
  28. Check if you'd like to be notified of new releases by e-mail: [ ]
  29.  
  30. ORDERING INFO
  31.  
  32. Yes I would like to register (check the boxes):
  33.  
  34. Memory game for Windows 3.1 and
  35. Memory game 95                [ ] for US$10
  36.  
  37. ----------------------------------------------------
  38. If you do not have an E-Mail address: + US$2 postage
  39. ----------------------------------------------------
  40.  
  41. Total:                        US$________
  42.  
  43. Payment method:  Cash [ ]     Money order [ ]     Check [ ]
  44.  
  45. ----------------------------------------------------
  46. Send this order form with the required cash, money order
  47. or check (and make the money order or check payable) to:
  48.  
  49. Kertes Gabor
  50. Kolcsey ltp. 1/711
  51. Szekszard
  52. H-7100
  53. Hungary
  54.