------------------------------------------------------------ HI / LO - THE GAME 1.70 ------------------------------------------------------------ REGISTRATION FORM Please print and return this form with your payment by check for the amount indicated below to: CRAZYUS SOFTWARE RTE. 8, BOX 2036 ROGERSVILLE, TENNESSEE 37857-9046 Internet: CRAZYUS.SOFTWARE@PCOHIO.COM You will receive registered version(s) of the program(s) on diskette and a serial number for self-registering all future Shareware releases. Registration Fees: Diskette Size: ------------------------------ ---------------- [ ] HI / LO - The Game $12.00 [ ] 3-1/2" [ ] 5-1/4" or for $10.00 on internet. Name ________________________________________________ Company Name (optional)______________________________ Address _____________________________________________ City __________________________________ State _______ Zip __________________ Phone ________________________ PC/CPU/Speed ________________________________________ Sound Card? [ ] No [ ] Yes : ______________________ Where Obtained? _____________________________________ Suggestions/Comments ________________________________ _____________________________________________________ _____________________________________________________