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Text File  |  1998-11-12  |  2KB  |  55 lines
  1.  
  2.                     NOISY VIDEO POKER & BLACKJACK 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 registration code immediately.
  21.  
  22.      DISK SIZE:  (  ) 3-1/2"   (  ) CD-ROM
  23.  
  24.      I AM ORDERING:   (  ) Only Noisy Video Poker (ú14)
  25.                       (  ) Only Noisy Video BlackJack (ú14)
  26.                       (  ) BOTH Noisy Video Poker and BlackJack (ú17)
  27.                       (  ) Noisy Video Poker/BJ and REAL Video Poker/BJ (ú21)
  28.  
  29.      POSTAGE & PACKING
  30.      -----------------
  31.      Please add ú3 for postage charges if you would like us to send the software
  32.      to you.  If you already have the software and only require the registration
  33.      code, then there is no additional P&P fee.
  34.  
  35.      Amount Enclosed: $_________
  36.  
  37.      Make your check or money order payable to GAMESCAPE STUDIOS.
  38.  
  39.      Mail payment and registration form to:    GAMESCAPE STUDIOS
  40.                                                Egloshayle
  41.                                                Wadebridge
  42.                                                Cornwall
  43.                                                PL27 6AX
  44.                                                UNITED KINGDOM
  45.      Payment Method:
  46.                      ___ Check   ___ Money Order   ___ VISA   ___ MasterCard
  47.  
  48.      Credit Card Number #_____ - _____ - _____ - _____   expiry ____/____
  49.  
  50.      For credit card orders:  Call 01208 816323 (Orders and Information)
  51.                                    01208 816006 (FAX)
  52.  
  53.      Order Online at:         http://www.gamescapestudios.com/order.htm
  54.  
  55.