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  1. ------------------------------------------------------------
  2.    WHEEL OF LUCK 2.1d     TRIPLE YAHOO! 2.0c
  3. ------------------------------------------------------------
  4.  
  5. REGISTRATION FORM
  6.  
  7. Please print and return this form with your payment by check 
  8. for the amount indicated below to:
  9.  
  10.     DAN PURATY
  11.     3536 KENT ROAD
  12.     STOW, OHIO  44224-4602
  13.  
  14. You will receive registered version(s) of the program(s) on 
  15. diskette and a serial number for self-registering all future 
  16. Shareware releases.
  17.  
  18. Order both Wheel of Luck and Triple Yahoo! for only $20.00!
  19.  
  20.     Registration Fees:                  Diskette Size:
  21.     ---------------------------         ----------------
  22.     [ ] Wheel of Luck  $12.00           [ ] 3-1/2"
  23.  
  24.     [ ] Triple Yahoo!  $12.00           [ ] 5-1/4"
  25.  
  26.     [ ] BOTH FOR ONLY  $20.00 
  27.  
  28.  
  29.     Name ________________________________________________
  30.  
  31.     Company Name (optional)______________________________
  32.  
  33.     Address _____________________________________________
  34.  
  35.     City __________________________________ State _______
  36.  
  37.     Zip __________________ Phone ________________________
  38.  
  39.     PC/CPU/Speed ________________________________________
  40.  
  41.     Sound Card?  [ ] No  [ ] Yes : ______________________
  42.  
  43.     Where Obtained? _____________________________________
  44.  
  45.     Suggestions/Comments ________________________________
  46.  
  47.     _____________________________________________________
  48.  
  49.     _____________________________________________________
  50.