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Text File  |  1992-05-28  |  2KB  |  43 lines
  1.                      REGISTRATION FORM FOR 3D CUBIC GAME
  2.                           (c) Copyright  1992-93
  3.  
  4.                                   Shahzad Bhatti
  5.                                2196 Oakdale Circle
  6.                                Hanover Park, IL 60103
  7.                                       U.S.A.
  8.                                   (708) 289-7927
  9.  
  10.                            (Please Print Clearly)
  11.     (orders cannot be processed unless the following information is supplied)
  12.  
  13.         Name: ________________________________  Age: ______
  14.  
  15.         Address: ________________________________
  16.  
  17.         City,State: _________________________________  Zip: ___________
  18.  
  19.         Country: _________________________________
  20.  
  21.         Phone: _________________________________
  22.  
  23.         Computer Description: _____________________________________________
  24.  
  25.         DOS Version: ____________  Kind of games you like: ________________
  26.  
  27.         Favorite Games: ___________________________________________________
  28.  
  29.         Where you got it: ________________  Cubic Version: ____________
  30.  
  31.         Your rating of Cubic Game (from 1 to 10): ________
  32.  
  33.         Registration Fee: $10.00 US         Date: ________
  34.                           (in Check please)
  35.  
  36.         Comments: _________________________________________________________
  37.  
  38.                   _________________________________________________________
  39.  
  40.         Mail this to the above address and thank you for registering
  41.         this game and giving me feedback.
  42.  
  43.