Memory game REGISTRATION FORM
-----------------------------

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:       _________________________________________________

                   _________________________________________________

ORDERING INFO

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

Memory game for Windows 3.1 and
Memory game 95                [ ] for $8

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

Total:                        US$________

----------------------------------------------------
Send this order form with the required cash to:

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