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Text File  |  1995-12-11  |  1.5 KB  |  57 lines
  1. ____________________________________________________________________________
  2. ----------------------------------------------------------------------------
  3.  
  4. To receive registered version of Winplay, personalized, and free of all
  5. shareware messages, as well as AGA version of the software:
  6.  
  7. Send US $10.00 to the following address:
  8.  
  9.                           Maciej Gorny
  10.                           424A Victoria Avenue
  11.                           Glassboro, NJ 08028
  12.                           USA
  13.  
  14. Also, please provide the information below. Please print clearly and make
  15. certain that all the information is accurate and complete, so there will
  16. be no mistakes in delivery.
  17.  
  18. Included with this form is payment in the amount of US $10.00.
  19. My prefered payment option is:
  20.  _
  21. |_| Cash
  22.  _
  23. |_| Money Order
  24.  _
  25. |_| Other (will have to wait until clears)
  26.  
  27.  
  28. Send the software to:
  29. (please print)
  30.  
  31.  
  32.    Name: ________________________________________________
  33.  
  34. Address: ________________________________________________
  35.  
  36.          ________________________________________________
  37.  
  38.   State: ________________________________________________
  39.  
  40. Postal Code: ____________________________________________
  41.  
  42. Country: ________________________________________________
  43.  
  44. E-Mail Address: _________________________________________
  45.  
  46.  
  47. Prefer to receive files:
  48.  _
  49. |_| by E-Mail
  50.  _
  51. |_| on a disk
  52.  
  53. ____________________________________________________________________________
  54. ----------------------------------------------------------------------------
  55.  
  56.  
  57.