Bricklayer for Windows v2.5 Registration Form
                     Vanilla-Extract Software
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[Name]
Title           _______
Last Name       ____________________  
First Name      ____________________         Initial __
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[Address]
if USA:
        Address    _______________________________________________
        City       _______________________________________________
        State, Zip __   _____-____

if Outside USA:
        Address __________________________________________________
                __________________________________________________
                __________________________________________________
                __________________________________________________
        Country ____________________________

email address                                _____________________
Would you like to be notified about new 
products/releases via email ?                [ ] Yes        [ ] No
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[Additional Information]
Where did you find Bricklayer ?
[] Internet (FTP/WWW/Gopher)            [] America Online
[] Friend                               [] Microsoft Network
[] Software club                        [] Other online service
[] book or store-bought CD              [] Other

What Hardware and OS are you using ?




Any Comments/Suggestions regarding Bricklayer ?



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Pricing Information
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Description                           Qty   Unit Price       Total
------------------------------------------------------------------
Single-User Registration                        $10.00
..................................................................
Additional Single-User License                  $ 5.00
..................................................................
10-machine site license                         $50.00
25-machine site license                        $100.00
Unlimited site license                         $150.00
..................................................................
Latest Version on disk                          $ 3.50*
..................................................................
Bonus Disk Set of Music and Graphics            $10.00*
(includes latest version)
..................................................................
                                        Total Enclosed:
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* Only registered users or users registering with this order
  are eligible to purchase disk sets.  Price includes media
  and shipping charges.
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---------------8<---------------8<-----------------8<-------------

Thank you for registering Bricklayer for Windows v2.5!
Please send US$10 for each copy of Bricklayer to be registered to:
        Yevgeny Gurevich
	Vanilla Extract Software
	P.O. Box 391
	Falls Church, VA 22040-0391
	USA

You may alternatively register via CompuServe's Shareware Registration:
        GO SWREG
        The CompuServe SWREG id for Bricklayer is #4732