Memory game v1.1a REGISTRATION FORM (pay directly to the Author)
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Name:              _________________________________________________

Registration name: _________________________________________________
(This will be used to create the code, and this will appear on the
About dialog after registration (Can be the same as Name))

Mailing address:   _________________________________________________

                   _________________________________________________

                   _________________________________________________

                   _________________________________________________

E-Mail Address:    ______________________

Where did you get Memory game: _____________________________________

                   _________________________________________________

Suggestions:       _________________________________________________

                   _________________________________________________

Check if you'd like to be notified of new releases by e-mail: [ ]

ORDERING INFO

Yes I would like to register (check the boxes):

Memory game for Windows 3.1 and
Memory game 95                [ ] for US$10

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If you do not have an E-Mail address: + US$2 postage
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Total:                        US$________

Payment method:  Cash [ ]     Money order [ ]     Check [ ]

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Send this order form with the required cash, money order
or check (and make the money order or check payable) to:

Kertes Gabor
Kolcsey ltp. 1/711
Szekszard
H-7100
Hungary
