----------------------------------------------------------- DOUBLE MATCH 1.0 TRIPLE YAHOO! 2.0c WHEEL OF LUCK 2.1d ----------------------------------------------------------- REGISTRATION FORM Please print and return this form with your payment by check for the amount indicated below to: DAN PURATY 3536 KENT ROAD STOW, OHIO 44224-4602 You will receive registered version(s) of the program(s) on diskette and a serial number for self-registering all future Shareware releases - FREE UPGRADES! Registration Fees: Diskette Size: --------------------------- ---------------- [ ] Double Match $12.00 [ ] 3-1/2" [ ] Triple Yahoo! $10.00 [ ] 5-1/4" [ ] Wheel of Luck $10.00 Add Shipping $2.00 (add only once) Total Enclosed $_______ Name ________________________________________________ Company (if applicable) _____________________________ Address _____________________________________________ City __________________________________ State _______ Zip __________________ Phone ________________________ PC/CPU/Speed ________________________________________ Sound Card? [ ] No [ ] Yes : ______________________ Where Obtained? _____________________________________ Suggestions/Comments ________________________________ _____________________________________________________