Galactic Tracker Registration Form                             [version 3.00]


Pricing:
                  
      North America............................................. $5 US
      Everywhere else........................................... $7 US

      Diskette with latest version.......................... add $3 US
                  

 * Make all checks payable to Karl Eric Beisel.
 * Send only US currency (checks/cash) or International money orders for
   US currency.
      
Send this order form along with your registration payment to one of the
following addresses:

      North America & World:           Europe:

      Galactic Tracker Registration    Galactic Tracker Registration
      c/o Karl Eric Beisel             c/o Survival BBS
      1965 Fountainbrook Ct.           P.O. Box 1538
      Woodbridge, VA  22192            DK-2700 Bronshoj
      USA                              Denmark

You will receive a registration code which will work with all new versions
of Galactic Tracker.  Please allow 3 - 6 weeks for delivery.

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[Version 3.00]


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

Address: _______________________________________________________________

City: ______________________ State: ________  Zip Code: ________________

Country: ________________________________


[ ] Please send my registration code via Internet e-mail as well as by
    standard mail. 
    
    My Internet address is: ____________________________________


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