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|                                                                           |
|                   Dink's Doppleganger, By Mike Snyder                     |
|                   A D-Mod for RTSoft's Dink Smallwood                     |
|                                                                           |
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      REGISTRATION FORM:    Please make your CHECK or MONEY ORDER payable
                            in US FUNDS to: Mike Snyder
                                            9400 E. Lincoln #317
                                            Wichita, KS  67207

  If you are pre-ordering (must be done before June 30th to qualify for the
  discount), you will receive a confirmation e-mail (if an email address is
  provided), but you will not receive the game until it is completed.

  This form MUST be included with your order. If you cannot print this using
  a printer, be sure to hand-write (as clearly as possible) ALL the info
  in the next section. An email address is highly recommended, especially
  for Pre-Orders. (Use a printer if at all possible).

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|  Your Name:__________________________  Handle, if any: _________________  |
|                                                                           |
|  Your Street Address:___________________________________________________  |
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|  City:______________________  State:_____  Country:_________ Zip:_______  |
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|  Telephone:___________________  E-Mail Address:_________________________  |
|                                                                           |
|  Which order method, based on today's date? (Check One)                   |
|                                                                           |
|  [ ] It is earlier than June 30th, 1998. I wish to Pre-Order for $4.00    |
|  [ ] The Pre-Order deadline has passed. Send me the game for just $6.00   |
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|  Where did you first find out about Dink's Doppleganger? (Check One)      |
|                                                                           |
|  [ ] From the demo on a PC-Gamer CD.                                      |
|  [ ] From the demo on a different CD: (specify):________________________  |
|  [ ] From The Dink Smallweb (http://www.cxo.com/~wyndo/dmods)             |
|  [ ] From RTSoft's Web Site (http://www.rtsoft.com/dink/)                 |
|  [ ] From a different Web Site: (specify):______________________________  |
|  [ ] From an Internet Newsgroup (UseNet):_______________________________  |
|  [ ] From the Dink Player/Developer Forum (www.cxo.com/~wyndo/forum)      |
|  [ ] From a different message forum: (specify):_________________________  |
|  [ ] Somewhere not listed above: (specify):_____________________________  |
|                                                                           |
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