R E G I S T R A T I O N F O R M January 2, 1993
=================================
Kurt W. Dekker
P.O. Box 10342
Costa Mesa, CA 92627

Ship To: _______________________________ (Name)

_______________________________ (Address)

_______________________________ (Include Zip!)

Phone: (______)_______________________

+=========================================================================+
| Product Name/Description | Price | Total |
+================================================+=============+==========+
| ROX - Blast Rocks In Outer Space | $10 | |
+------------------------------------------------+-------------+----------+
| METC - Meteor Mission - Rescue Astronauts | $8 | |
+------------------------------------------------+-------------+----------+
| DEFEND - Defender - Save the planet! | $10 | |
+------------------------------------------------+-------------+----------+
| SCUD - The Missile Command Game | $10 | |
+------------------------------------------------+-------------+----------+
| KSI - Kurt's Spaced-Out Invaders | $5 | |
+------------------------------------------------+-------------+----------+
| VIPER - the Serpentine Game | $8 | |
+------------------------------------------------+-------------+----------+
| ACK - Ack-Ack Attack; Parachutist's Nightmare! | $8 | |
+------------------------------------------------+-------------+----------+
| GAL - Galaxy Invaders - coming soon! | $10 | |
+------------------------------------------------+-------------+----------+
| DSM - Deep Space Mission - coming soon! | $10 | |
+------------------------------------------------+-------------+----------+
| | | |
+------------------------------------------------+-------------+----------+
| | TOTAL: | |
+================================================+=============+==========+
(CA Residents Add 7.75% Sales Tax)

I strive to make playable and enjoyable arcade games for the PC compatible
line of computers. If you would take just a moment to provide me some
feedback on the game you play tested, I will send you a FREE UPGRADE if I
make the suggested modifications/improvements!

1. What game(s) did you play?_____________________________________

2. Please rate the following areas from 1 (lowest) to 5 (highest):

Lowest Highest
Graphics 1 2 3 4 5
Sound 1 2 3 4 5
User Interface (scoring, etc.) 1 2 3 4 5
Documentation/Help 1 2 3 4 5

Thank you very much for your feedback!