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  1.                   %%% Evasive Maneuvers Registration Form %%%
  2.                                Order Form #B713
  3.  
  4.     Name [Please Print, don't write]:
  5.  
  6.     ______________________________________________________________________
  7.     Address:
  8.  
  9.     ______________________________________________________________________
  10.     City, Province/State:
  11.  
  12.     ______________________________________________________________________
  13.     Country, Postal/Zip Code:
  14.  
  15.     ______________________________________________________________________
  16.     I'm curious as to where abouts Evasive Maneuvers has been distributed
  17.     and where it's not so...
  18.  
  19.     Where did you obtain your copy from:
  20.  
  21.     ______________________________________________________________________
  22.  
  23.     Do you wish to be placed on our mailing list for future high-quality
  24.     shareware products?
  25.  
  26.               (  ) Yes!        (  ) No!        (  ) Only Games!
  27.  
  28.     Please select disk type...
  29.  
  30.      (  ) 5.25" 1.2Mb                 (  ) 3.5" 1.44Mb (3.5" Ships better)
  31.  
  32.     .--------------------------------------------------------------------.
  33.     |  Product                                                 |  Total  |
  34.     |----------------------------------------------------------|---------|
  35.     |  Evasive Manuvers                                        |  $15.00 |
  36.     |                                                          |         |
  37.     `----------------------------------------------------------|---------|
  38.     Please send your cheque or money   | Shipping & Handling   |   $2.00 |
  39.     order in US or Canadian dollars    |-----------------------|---------|
  40.     payable to "Chris Blackwell" to:   | Outside of North      |         |
  41.                                        | America, please add   |         |
  42.         Exaggerated Software           | an additional $2.00.  |         |
  43.          c/o Chris Blackwell           |---------------------------------|
  44.          238 Renforth Drive            | Total amount payable  |         |
  45.          Etobicoke, Ontario            | to: "Chris Blackwell" |         |
  46.            Canada M9C 2K9              `---------------------------------'
  47.  
  48.     Please allow a couple of weeks for delivery.
  49.  
  50.     Thank you for taking the time to register!
  51.