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Text File  |  1997-01-27  |  1KB  |  47 lines
  1. Arrghh! Registration Form
  2.  
  3. Please return this form along with your payment to:
  4.  
  5. Moonlight Entertainment
  6. P.O. Box 29254
  7. Honolulu, HI 96820
  8. USA
  9.  
  10. Customer Support:  (808)256-3290
  11.  
  12. Arrghh! registration is $8.00 plus $2.00 shipping and handling.
  13. 3.5" 1.44MB diskettes will be shipped unless otherwise specified.
  14.  
  15. ___________ Arrghh! registrations @ $8.00 each:     $_______.____
  16.  
  17. Shipping & Handling $2.00 per registration:         $_______.____
  18.  
  19. Total enclosed:                                     $_______.____
  20.  
  21. Payment by:    [  ] Check        [  ] Money Order
  22.  
  23.  
  24. Name:        ____________________________________________________
  25.  
  26. Address:     ____________________________________________________
  27.  
  28. City:        ____________________  State/Prov: __________________
  29.  
  30. Zip/Postal:  ____________________  Phone: _______________________
  31.  
  32.  
  33. Where did you obtain the unregistered version of Arrghh!? ______
  34.  
  35. _________________________________________________________________
  36.  
  37. Age: ______  Sex: ______  Occupation: ___________________________
  38.  
  39. Hobbies: ________________________________________________________
  40.  
  41. What types of games do you enjoy most? __________________________
  42.  
  43. _________________________________________________________________
  44.  
  45.  
  46.                  Thank you for registering Arrghh!
  47.