Bricklayer for Windows v1.5 Registration Form ** Vanilla-Extract Software

Last Name       ____________________  
First Name      ____________________         Initial __

if USA Address:
        Address    ___________________________________________________
        City       ___________________________________________________
        State, Zip __   _____-____

if Outside USA:
        Address ______________________________________________________
                ______________________________________________________
                ______________________________________________________
                ______________________________________________________
        Country ____________________________

email address                                _________________________
Would you like to be notified about new 
products/releases via email ?                                     ____

[Additional Information]
Where did you find Bricklayer (ftp, online service, BBS, friend, etc.) ? 



What Hardware and OS are you using ?




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Thank you for registering Bricklayer for Windows!
Please send US$10 for each copy of Bricklayer to be registered to:
        Yevgeny Gurevich
        129 Franklin Street #112
        Cambridge, MA 02139