Memory game 95 v1.1a REGISTRATION FORM (pay directly to the Author) ------------------------------------------------------------------- Name: _________________________________________________ Registration name: _________________________________________________ (This will be used to create the code, and this will appear on the About dialog after registration (Can be the same as Name)) Mailing address: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ E-Mail Address: ______________________ Where did you get Memory game: _____________________________________ _________________________________________________ Suggestions: _________________________________________________ _________________________________________________ Check if you'd like to be notified of new releases by e-mail: [ ] ORDERING INFO Yes I would like to register (check the boxes): Memory game for Windows 3.1 and Memory game 95 [ ] for US$10 ---------------------------------------------------- If you do not have an E-Mail address: + US$2 postage ---------------------------------------------------- Total: US$________ Payment method: Cash [ ] Money order [ ] Check [ ] ---------------------------------------------------- Send this order form with the required cash, money order or check (and make the money order or check payable) to: Kertes Gabor Kolcsey ltp. 1/711 Szekszard H-7100 Hungary