Poker Patience Ordering Form

                                      ÚÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄ¿
                                      ³            Roman Cejka          ³
                                      ³            V polich 3           ³
                                      ³    568 02  SVITAVY              ³
                                      ³            CZECH REPUBLIC       ³
                                      ÀÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÄÙ


 Yes, I want my own copy of full version of Poker Patience:
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     Name: ____________________________________________________________

  Address: ____________________________________________________________

     City: ____________________________________________________________

  Country: ____________________________________________________________


 Please let me know, where did you get your shareware copy of Poker Patience:
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      Check und complete:

      [ ] - BBS, Internet ... _________________________________________

      [ ] - Shareware Catalog _________________________________________

      [ ] - Other - please specify: ___________________________________


Quantity  Description                                              Cost

________  Latest full version of Poker Patience ($15 per copy)    _______

          Shipping and handling (Europeans $3, others $5 for
          the first item; all $1 for each other item              _______

                                                       Total:     _______

Note:
Send the check rather than money. Please send the order and the check as
a letter of recommendation reference.


Reminders, remarks, comments and criticisms are welcomed:
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