Picture Puzzler 1.0 - Registration Form 
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	Please send with cash, check, or money order to:
			
			Keats Mulcahy
			2310 Camino Alto
			Austin, TX 78746
			     U.S.A
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Where did you get the shareware version?____________________________________


Name________________________________________________________________________


Address____________________________________________________________________

     
       ____________________________________________________________________


Country____________________________________________________________________


E-Mail (if any)____________________________________________________________


		Quantity__________  X $9.50 each = Subtotal _______________


						Shipping  +      $2.50


						Total	    ________________


		Note:  All prices are in United States Dollars

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Comments or suggestions about the game: