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Text File  |  1995-03-23  |  1.6 KB  |  56 lines
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  3. Crawler! Registration Form                                         FLVERSTIDD
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  7. Please return this form along with your payment to:
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  9. Moonlight Entertainment
  10. P.O. Box 29254
  11. Honolulu, HI 96820
  12. USA
  13.  
  14. Customer Support:  (808)284-3950
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  17. Crawler! registration is $5.00 plus $2.00 shipping and handling.
  18. 3.5" 1.44MB diskettes will be shipped unless otherwise specified.
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  21. _________  Crawler! registrations @ $5.00 each:                  $______.____
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  23. Shipping & Handling $2.00 per registration:                      $______.____  
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  25. Total enclosed:                                                  $______.____                                  
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  27. Payment by:    [    ] Check             [    ] Money Order
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  31. Name    _____________________________________________________________________
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  33. Address _____________________________________________________________________
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  35. City    ___________________________     State/Prov.  ________________________
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  37. Zip/Postal  _______________________     Phone  ______________________________
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  41. Where did you obtain the unregistered version of Crawler!?  _________________
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  43. _____________________________________________________________________________
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  45. Age ______      Sex _______     Occupation __________________________________
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  47. Hobbies  ____________________________________________________________________
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  49. What types of games do you enjoy most? ______________________________________
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  51. _____________________________________________________________________________
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  55.                         Thank you for registering Crawler!
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