home *** CD-ROM | disk | FTP | other *** search
/ Sunny 1,000 Collection / SUNNY1000.iso / Files / W31 / Puzzle / PICPUZZ1.ZIP / ORDERFRM.TXT < prev    next >
Text File  |  1995-08-06  |  1KB  |  43 lines
  1.           Picture Puzzler 1.0 - Registration Form 
  2.           ***************************************
  3.  
  4.     Please send with cash, check, or money order to:
  5.             
  6.             Keats Mulcahy
  7.             2310 Camino Alto
  8.             Austin, TX 78746
  9.                  U.S.A
  10. *-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*-*
  11.  
  12. Where did you get the shareware version?____________________________________
  13.  
  14.  
  15. Name________________________________________________________________________
  16.  
  17.  
  18. Address____________________________________________________________________
  19.  
  20.      
  21.        ____________________________________________________________________
  22.  
  23.  
  24. Country____________________________________________________________________
  25.  
  26.  
  27. E-Mail (if any)____________________________________________________________
  28.  
  29.  
  30.         Quantity__________  X $9.50 each = Subtotal _______________
  31.  
  32.  
  33.                         Shipping  +      $2.50
  34.  
  35.  
  36.                         Total        ________________
  37.  
  38.  
  39.         Note:  All prices are in United States Dollars
  40.  
  41. **    **    **    **    **    **    **    **    **    **
  42.  
  43. Comments or suggestions about the game: