Cribbage Pro - 1.3 Software Registration Form ____________________________________________________________ R. J. Crouch CW Software P.O. Box 2981 Grass Valley, CA 95945 Date: _____________ Count Description Amount Total ----- ----------- ------ ----- _____ Cribbage Pro licensed copy $14.95 ea. $ _______ on disk (latest version) Shipping and Handling (up to 5 copies) $ 3.00 Shipping outside U.S.: $2.00 additional $ _______ Disks are 3 1/2" HD unless otherwise requested. Total submitted $ _______ Name: ______________________________________________ Address: ___________________________________________ ___________________________________________ ___________________________________________ Phone: _____________________________________________ Help track the distribution of Cribbage Pro by letting us know where you found this copy. ____________________________________________________ Comments: __________________________________________ ____________________________________________________ ____________________________________________________ Please make checks payable to the author - R. J. Crouch ORDERS OUTSIDE OF THE U.S. - Checks must be drawn on a U.S. bank in U.S. dollars or send an international postal or money order in U.S. dollars.