Registration Form for Xword TO: FROM: Dominion Software Name: __________________________________ 1088 Irvine Blvd. Tustin, CA 92680 (Company): __________________________________ (Title): __________________________________ Address: __________________________________ Today's date: ___________ City,State: __________________________________ Zip Code Phone Number: _________________________ Diskette format (choose one) 5.25" disk ____ 3.5" disk ____ Xword Crossword Puzzle Software. $20.00 per registered Diskette. Quantity: ______ Total enclosed: ______ Terms: Check or Money Order drawn on a U.S.A. bank in U.S. funds. * Includes a free upgrade to the next version of the software, when available.