Galactic Tracker Registration Form                             [version 2.01]


To register your copy of Galactic Tracker, please fill out this registration
form.  Please send it and $5 (All European orders add $2) to:

      USA:                             Europe:

      Karl Eric Beisel                 Survival BBS
      1965 Fountainbrook Ct.           P.O. Box 1538
      Woodbridge, VA  22192            DK-2700 Bronshoj
                                       Denmark


You will receive a registration code which will work with all new versions
of Galactic Tracker.  If you wish, I will gladly send your registration code 
to you via Compuserve or the Internet.


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Your Name: _____________________________________________________________
(Your code is keyed to this)

Address: _______________________________________________________________

City: ______________________ State: ________  Zip Code: ________________

Country: ________________________________



Internet Address: ____________________________________

Compuserve ID: _______________________________________

Do you wish to receive your registration code via:

                [ ] Internet
                [ ] Compuserve Mail
                [ ] Mail only

Comments:















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