                -=> DRAW POKER REGISTRATION <=-

 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
                                
 First Name :___________________Last Name :_______________________

    Address :_________________________________APT # :_____________

       City :_______________________State :_______ZIP :___________

 Home Phone :(    )____-________
 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

 BBS NAME :___________________________BBS Software :______________

 BBS Phone :(    )____-________Fido Net/Node :____:______/________

 Maximum Baud Rate :_________________Modem Type :_________________

 Math CO-PROCESSOR ( )YES  ( )NO   Computer Type :________________
 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

      There are three ways of receiving your registration.  You
      can choose from US Mail, Remote or via FIDONET.  If you
      choose US Mail I will send you the latest version of the
      door and the other doors I have written.  If you choose
      REMOTE or FIDO I will then just send you the REGISTRATION
      CODE.  If you do choose REMOTE please fill out the REMOTE
      REGISTRATION SECTION.

   REMOTE REGISTRATION :   (USA ONLY)
      Please make an account with the following information so
      that I can upload the registration code to you.
          ACCOUNT NAME : DANNY DAVIS
      ACCOUNT PASSWORD :                (PRINT PLEASE)
         ACCOUNT PHONE : 209-497-6722
      ACCOUNT BIRTHDAY : 07/26/65
 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

    DRAW POKER REGISTRATION : QTY____ x $17.50 = $________________

 CHOOSE ONE BELOW :

 ( ) US MAIL                     ADD    $ 3.00 = $_____________S/H
    Please Select a Disk Size :
    ( ) 720k       ( ) 360k
    ( ) 1.2        ( ) 1.44

 ( ) REMOTE OR FIDONET (USA ONLY) ADD   $ 2.00 = $_____________L/D

 CA RESIDENT add SALES TAX                       $________________

  TOTAL DUE (US FUNDS ONLY)                      $________________
 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
 Send Check or Money Order to :
      Danny Davis
      2103 N. Arthur
      Fresno, Ca. 93705

         CHECKS WILL HOLD UP THE ORDER TILL THEY CLEAR THE BANK


                   SPECIAL REGISTRATION OFFER

     If you register multiple doors you may take advantage of
     the special pricing shown below.  See DOOR.TXT file for
     more information on the other doors.

     
     Select The Doors You Wish To Register :
     ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
     ( ) Hang-Man
     ( ) Yahtzee
     ( ) Match 15
     ( ) Word Scramble
     ( ) Black Jack
     ( ) Solitaire
     ( ) Video Poker
     ( ) Tuts Revenge
     ( ) Draw Poker
     ( ) Four Leaf Clover

     QTY = Number of Doors Checked

                   2 - 4 Doors
                             QTY____ x $14.50 = $ ________________

                   5 - 8 Doors
                             QTY____ x $12.50 = $ ________________

                   All 10 Doors
                             QTY____ x $10.00 = $ ________________

     ( ) US MAIL              ADD      $ 3.00 = $ _____________S/H
         Please Select a Disk Size :
         ( ) 720k       ( ) 360k
         ( ) 1.2        ( ) 1.44

     ( ) REMOTE or FIDONET    ADD      $ 2.00 = $ _____________L/D

     CA residents add sales tax               + $ ________________

                   Total US FUNDS DUE         = $ ________________ 
     
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