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  1.              R E G I S T R A T I O N   F O R M       January 2, 1993
  2.                      =================================
  3.                               Kurt W. Dekker
  4.                               P.O. Box 10342
  5.                            Costa Mesa, CA  92627
  6.  
  7. Ship To:  _______________________________ (Name)
  8.  
  9.           _______________________________ (Address)
  10.  
  11.           _______________________________ (Include Zip!)
  12.  
  13. Phone:    (______)_______________________
  14.  
  15. +=========================================================================+
  16. | Product Name/Description                       |   Price     |  Total   |
  17. +================================================+=============+==========+
  18. | ROX - Blast Rocks In Outer Space               |    $10      |          |
  19. +------------------------------------------------+-------------+----------+
  20. | METC - Meteor Mission - Rescue Astronauts      |     $8      |          |
  21. +------------------------------------------------+-------------+----------+
  22. | DEFEND - Defender - Save the planet!           |    $10      |          |
  23. +------------------------------------------------+-------------+----------+
  24. | SCUD - The Missile Command Game                |    $10      |          |
  25. +------------------------------------------------+-------------+----------+
  26. | KSI - Kurt's Spaced-Out Invaders               |     $5      |          |
  27. +------------------------------------------------+-------------+----------+
  28. | VIPER - the Serpentine Game                    |     $8      |          |
  29. +------------------------------------------------+-------------+----------+
  30. | ACK - Ack-Ack Attack; Parachutist's Nightmare! |     $8      |          |
  31. +------------------------------------------------+-------------+----------+
  32. | GAL - Galaxy Invaders - coming soon!           |    $10      |          |
  33. +------------------------------------------------+-------------+----------+
  34. | DSM - Deep Space Mission - coming soon!        |    $10      |          |
  35. +------------------------------------------------+-------------+----------+
  36. |                                                |             |          |
  37. +------------------------------------------------+-------------+----------+
  38. |                                                |   TOTAL:    |          |
  39. +================================================+=============+==========+
  40.                                          (CA Residents Add 7.75% Sales Tax)
  41.  
  42. I strive to make playable and enjoyable arcade games for the PC compatible
  43. line of computers.  If you would take just a moment to provide me some
  44. feedback on the game you play tested, I will send you a FREE UPGRADE if I
  45. make the suggested modifications/improvements!
  46.  
  47. 1.    What game(s) did you play?_____________________________________
  48.  
  49. 2.    Please rate the following areas from 1 (lowest) to 5 (highest):
  50.  
  51.                                              Lowest                 Highest
  52.             Graphics                           1     2     3     4     5
  53.             Sound                              1     2     3     4     5
  54.             User Interface (scoring, etc.)     1     2     3     4     5
  55.             Documentation/Help                 1     2     3     4     5
  56.  
  57. Thank you very much for your feedback!