==================================
	              Canasta for Windows 2.5
                         Registration Form
		           February 1995
                 ==================================

NOTE: Please refer to README.TXT file for payment methods
    
	      				 Date _________________

Name __________________________________________________________

Address _______________________________________________________

City __________________________  State/Country ________________

Zip/Postal Code _______________  [Phone] ______________________

[E-mail address] ______________________________________________

[Your age]       __________ 

Where did you get Canasta ? ___________________________________

Registration at $20 		                           ____

Add $5 if payment by check/money order			   ____

TOTAL AMOUNT 						   ____

Please write any suggestions or comments on the other side.

9502-01
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    Send to:	Mark-Jan Harte
		Cort v.d. Lindenlaan 84
		1412 CB Naarden
		The Netherlands