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               ()  Registration Form For Programs By TGR Software   ()
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Real name: ____________________________________________________

Name you want registered: _____________________________________

Address: ______________________________________________________

City: _________________________________________________________

State or Province: _________  TGR Net address: ________________

Zip: ___________________

BBS Name: _____________________________________________________

BBS Number: (      )       -

Internet address: _____________________________________________

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Put a 'X' in the '[ ]' beside the option you want..

Which TGR Program do you want to register:

    [ ] 1. I want to register The Wall! ($5)
    [ ] 2. I want to register Random Lord Looks! ($3)
    [ ] 3. I want to register Lord Looks (LORD IGM) ($5)
    [ ] 4. I want to register all three for only $11! 

How do you want to get your key:

   [ ] 1. I want to call your BBS and get my key.
           BBS Info:
              Name: The Gamer's Realm
              Number: (918) 457-3453
              Max Speed: 14400 baud
              Hours: 24 hours a day/7 days a week

   [ ] 2. I want my key Internet emailed to me (must specify address above).

   [ ] 3. I want my key mailed to me (Snail Mail).

Other Stuff:

    [ ] 1. I want the latest version of every TGR Software sent to me on
           a 1.44 3.5" disk for an additional $5.00

  Amount of money enclosed for this order (U.S Currency!)    :  

Comments / Suggestions :

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Send this form with your U.S. funds check or money order to:

Ed Mullins <--(Make check out to this name!)
HC 69 Box 865
Park Hill, OK  74451-9629

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Date Recieved: ____/____/____