
 Registration form for Dollar Slots
 
 
 Your Name _________________________________________

 Your BBS Name (EXACTLY as you want it to appear in the game)
 
           _________________________________________

 Your Address ______________________________________
              ______________________________________
              ______________________________________

 Your Voice Phone __________________________________

 Your BBS Phone ____________________________________

 Internet address, if available ____________________

 If you don't have an Internet address, I'd like a network where I can
 reach you to let you know that your registered version of Dollar Slots
 is ready for download.

 Network ___________________________________________

 Conference to contact you _________________________

 In order to pre-register you on Hare Mail BBS to download your registered
 copy, please give a password to set up your account.
 
 ____________

 Please make all checks or money orders payable to MARK ZEC, and mail
 to:

 Mark Zec
 6404 Gertrude Avenue
 Cleveland, Ohio 44105

 Thanks for your support of Dollar Slots!
