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Text File  |  1998-08-21  |  2KB  |  53 lines
  1.  
  2.                   ANIMATED CRAPS REGISTRATION
  3.  
  4.           Name             ______________________________
  5.  
  6.           Company          ______________________________
  7.  
  8.           Address          ______________________________
  9.  
  10.           City/State       ______________________________
  11.  
  12.           Zip/Postal Code  ______________________________
  13.  
  14.           Country          ______________________________
  15.  
  16.           Phone            ______________________________
  17.  
  18.           EMAIL ADDRESS    ______________________________
  19.                            If you include your eMail address, we can
  20.                            send you the immediately.
  21.  
  22.      DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM
  23.  
  24.      I AM ORDERING:
  25.  
  26.         (  ) ANIMATED CRAPS (AUS$ 30)
  27.         
  28.  
  29.      POSTAGE & PACKING
  30.      -----------------
  31.      If you already have the software and only require the registration 
  32.      code, then there is no P&P charge.  For (AUS$ 8) we will send the
  33.      program to you on a CD disc which also includes the shareware
  34.      versions of over 50 other programs for you to try.
  35.  
  36.      Amount Enclosed: $_________
  37.  
  38.      Make your cheque or money order payable to SHAREWARE AUSTARLIA.
  39.  
  40.      Mail payment and registration form to:    SHAREWARE AUSTRALIA
  41.                                                PO Box 1075
  42.                                                Maroubra NSW 2035
  43.                                                AUSTRALIA
  44.      Payment Method:
  45.      ___Check  ___Money Order  ___BankCard  ___VISA  ___MasterCard  ___AMEX
  46.  
  47.      Credit Card Number #____________________________   expiry ____/____
  48.  
  49.      For credit card orders:  Call (02) 9565-2339 (Order and Information)
  50.                                    (02) 9565-2362 (FAX)
  51.  
  52.      Order Online at: http://www.shareware-australia.com/ultisoft/index.htm
  53.