

                       High N' Low Registration Form
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                             Mail Orders to:

                             Michael Kinser
                             Games Unlimited Software
                             P.O. Box 804
                             Norton, Va 24273


   Name: _________________________________

   Address: ______________________________

   Address: ______________________________  (Optional)

   City: __________________________  State: _____  Zip: ___________________

   Country: ______________________________

   Home Phone Number: ____________________


   BBS Name: ____________________________  Maximum Baud Rate: _____________

   BBS Software: ________________________  BBS Phone Number: ______________


   High N' Low Registered Key File ------- (USA Funds Only!) =  $ __10.00__

                                         Shipping & Handling =  $ ___2.00__

                           Virginia Residents add Sales Tax  =  $ _________

                                             Total Enclosed  =  $ _________

   Method of payment will be:   [ ] Check made out to Michael Kinser
                                [ ] Money Order made out to Michael Kinser

   Disk Size: [ ] 5.25DD        I hereby understand and have read the
              [ ] 5.25HD        agreement and warranty set forth in the
              [ ] 3.5DD         documentation.
              [ ] 3.5HD
                                Signature: ________________________________
   Comments / Suggestions       SIGNATURE IS REQUIRED FOR ALL REGISTRATIONS

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                  THANK YOU FOR REGISTERING HIGH N' LOW!!!
