ROGE'S SOFT, S-TETRIS REGISTRATION FORM
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DATE : ...........


NAME : ..........................................................

STREET & NUMBER : ...............................................

.............................. APT.# / SUITE : ................

STATE : ...... ZIP CODE : ...............

PHONE NUMBER (optional) : ...................

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COMPUTER TYPE : .................................................

MOUSE : YES( ) NO( )

GRAPHIC CARD : VGA( ) IBM 8514( ) SUPER-VGA( )

GRAPHIC CARD BRAND AND MODEL : ..................................


HOW WOULD YOU GRADE S-TETRIS (0-LOWEST, 10-HIGHEST) : ...........

ANY COMMENTS OR SUGGESTIONS ? ...................................

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SIGNATURE : .................