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Text File  |  1998-06-11  |  2KB  |  57 lines

  1.  
  2.                            ANIMATED KENO 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 KENO  (ú7)
  27.         (  ) WILD BALL KENO  (ú7)
  28.  
  29.         (  ) BOTH THE ABOVE  (ú10)
  30.  
  31.      POSTAGE & PACKING
  32.      -----------------
  33.      Please add ú3 for postage charges if you would like us to send the software
  34.      to you.  If you already have the software and only require the registration
  35.      code, then there is no additional P&P fee.
  36.  
  37.      Amount Enclosed: $_________
  38.  
  39.      Make your cheque or money order payable to GAMESCAPE STUDIOS.
  40.  
  41.      Mail payment and registration form to:    GAMESCAPE STUDIOS
  42.                                                Egloshayle
  43.                                                Wadebridge
  44.                                                Cornwall
  45.                                                PL27 6AX
  46.                                                UNITED KINGDOM
  47.      Payment Method:
  48.                      ___ Check   ___ Money Order   ___ VISA   ___ MasterCard
  49.  
  50.      Credit Card Number #_____ - _____ - _____ - _____   expiry ____/____
  51.  
  52.      For credit card orders:  Call 01208 816323 (Orders and Information)
  53.                                    01208 816006 (FAX)
  54.  
  55.      Order Online at:         http://www.gamescapestudios.com/order.htm
  56.  
  57.