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Text File  |  1991-08-17  |  2KB  |  67 lines
  1.  
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  5.                               REGISTRATION FORM
  6.  
  7.        Registration    entitles  the  user  to  full   support,   major
  8.        upgrade  notifications,  discounts on all  programs  and  future
  9.        programs.
  10.  
  11.                                   ULTRA SLOT            
  12.                           Version 1.OO Registration 
  13.  
  14.                               Please specify disk size
  15.  
  16.        Registration Fee        ( ) 5 1/4"  ( ) 3 1/2"   $18.OO  _______
  17.  
  18.                                    Foreign orders add   $ 5.OO  _______
  19.          (Foreign orders on International Money Orders)
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  22.                                               Total          $  _______
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  25.        Name     _______________________________________________________
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  27.        Address  _______________________________________________________
  28.  
  29.        City     _____________________________ St. ______ Zip __________
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  32.        Computer System ________________________________________________
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  35.                Where did you acquire this version of Ultra Slot
  36.  
  37.        ________________________________________________________________
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  40.                             Comments & Suggestions
  41.  
  42.        ________________________________________________________________
  43.  
  44.        ________________________________________________________________
  45.  
  46.        ________________________________________________________________
  47.  
  48.        ________________________________________________________________
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  51.         For our records, please indicate your systems display adapter.
  52.  
  53.        ___MONO  ___CGA  ___EGA  ___VGA  ___SVGA    Mouse ___Yes   ___No
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  57.                                         United Innovations Plus
  58.             Make checks payable to:      Post Office Box 21O81
  59.                                         Castro Valley, CA 94546
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