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  1.  
  2.  
  3.        HYPERWARE
  4.        13245 SKIOMAH RD.
  5.        APPLE VALLEY, CA. 92307
  6.         -----------------------------------------------------------------
  7.        |              ULTIMATE BLACKJACK REGISTRATION FORM               |
  8.        |                   (ENCLOSE REGISTRATION FEE)                    |
  9.        |                                                                 |
  10.        |  REGISTRANTS NAME: ___________________________                  |
  11.        |  ADDRESS         : ___________________________                  |
  12.        |    "             : ___________________________                  |
  13.        |    "             : ___________________________                  |
  14.        |  TODAYS DATE     : ___________________________                  |
  15.        |                                                                 |
  16.        |       Please enter the version # of your game  __________       |
  17.        |                                                                 |
  18.        |       Enclose a check or money order for $10.00.  All reg-      |
  19.        |       istered users will receive the information or files       |
  20.        |       needed to convert their unregisered version to the        |
  21.        |       registered version.                                       |
  22.        |                                                                 |
  23.        |   ===================== ORDER FORM ==========================   |
  24.        |                                                                 |
  25.        |   I WOULD LIKE TO ORDER THE FOLLOWING...                        |
  26.        |                                                                 |
  27.        |   ULTIMATE BLACKJACK GAME   X (   )   $10.00    $___________    |
  28.        |                                                                 |
  29.        |   SOUND BLASTER VOICE FILES X (   )   $ 5.00    $___________    |
  30.        |                                                                 |
  31.        |   SHIPPING AND HANDLING               $ 3.00    $      3.00     |
  32.        |                                                                 |
  33.        |   Total the amounts and enclose        TOTAL    $___________    |
  34.        |   payment with this form.                                       |
  35.        |                                                                 |
  36.        |             _____ 360k 5 1/4 DISK                               |
  37.        |             _____ 1.20 5 1/4 DISK                               |
  38.        |             _____ 720k 3 1/2 DISK                               |
  39.        |             _____ 1.44 meg 3 1/2 DISK                           |
  40.        |                                                                 |
  41.        |   THANKS                                                        |
  42.        |                                                                 |
  43.         -----------------------------------------------------------------
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