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Text File  |  1996-08-25  |  1.7 KB  |  55 lines
  1.  
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  3.                                  ImagiSOFT, Inc.
  4.  
  5.                       CHINESE CHECKERS REGISTRATION FORM
  6.  
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  8.            Description                                        Price
  9.          -------------------------------------------------------------
  10.          | Chinese Checkers                                |  $19.95 |
  11.          -------------------------------------------------------------
  12.          | Refund for purchasing Software Excitement! Disk |  - 4.00 |
  13.          -------------------------------------------------------------
  14.                                      TOTAL AMOUNT ENCLOSED |  $15.95 |
  15.                                                            -----------
  16.  
  17.          Disk Size Desired:  ___ 5.25"  ___ 3.5"
  18.  
  19.          Make checks payable to ImagiSOFT, Inc.
  20.  
  21.          [ ] Check   [ ] VISA   [ ] Master Card   [ ] American Express
  22.  
  23.          Card Number:  _____ _____ _____ _____     Exp. Date:  _______
  24.  
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  26.          Name: _______________________________________________________
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  28.          Address: ____________________________________________________
  29.  
  30.          City: _______________________________________________________
  31.  
  32.          State / Country: ____________________________________________
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  34.          Zip / Postal Code: __________________________________________
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  36.  
  37.          I received Chinese Checkers v1.3 from Software Excitement!
  38.  
  39.          Comments, suggestions:
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  48.                   Mail to:             ImagiSOFT, Inc.
  49.                                        Computer Games Division
  50.                                        P.O. Box 13208
  51.                                        Albuquerque, NM   USA   87192
  52.  
  53.          Credit Card Orders May Call:  (800) 767-1978
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