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Registration form for [The CeMeTeRy] v0.99 for T-LORD
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Please print clearly, or type in your information & print out.



Your Name........:

Address..........:

City, State, Zip.:

Country..........:

Phone Number.....:

BBS Name.........:

BBS Number.......:

Int. Address.....:


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Choose your Destination:
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[The CeMeTeRy] can be yours for the very low price of $5.00!
Once we receive your $5.00 you're automatically entitled to
receive ALL upgrades of iNSaNe BlakJak for T-LORD for NO CHARGE!
They will be sent to you as soon as they're released!


___ Please send this to me Snail Mail.


___ My Internet provider is cool and allows me to download files attached
    to mail. Send this to me Internet E-Mail Address specified above!

                                  * * *

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ShadowSoftware/MiNDPHYR package options:
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 ___ I just want [The CeMeTeRy v1.99] IGM for T-LORD for $5.00



 ___ I want the ShadowSoftware T-LORD Package for $8.00
     (Newest T-LORD versions of [The CeMeTeRy] & iNSaNe BlakJak IGMs)


 ___ I want the ShadowSoftware Lunatix Package for $12.00
     (Newest Lunatix versions of Lost Reality, iNSaNe BlakJak & iNSaNe
      Roulette IGMs)

 ___ I want the ShadowSoftware ValueMegaPack for $18.00
     (Newest T-LORD versions of [The CeMeTeRy] & iNSaNe BlakJak IGMs, PLUS
      Newest Lunatix versions of Lost Reality, iNSaNe BlakJak & iNSaNe
      Roulette IGMs)

 
Amount included with this registration form .......... $   

Send this to:

        Devin Linsenbach       <- make payment out to this name
        4536 S.W. 14th Ave
        Cape Coral, FL 33914

I accept checks or money orders, but not credits cards!
I am not responsible for any currency that is lost in the mail.

