"Full Roulette Counter" V 1.0
Copyright (c) September, 2000
by Milen Konstantinov
All Rights Reserved

Registration Information and Order Form

                   Ordering by Check or Money Order

To order "Full Roulette Counter" by Check or Money Order, send a
completed order form (below) and a Check or Money Order payable to:

Milen Konstantinov
41 WARRENDER AVE. #203
TORONTO, ONTARIO
M9B 5Z6, CANADA

E-mail: sirius@sprint.ca

Payments must be in US dollars drawn on a Canadian bank,
or you can send international postal money orders in US$ or CA$.



"Full Roulette Counter" V 1.0 Order Form/Invoice

Customer information is considered confidential and will not be
shared with or distributed to any third party.

"Full Roulette Counter" Copy  ____ copies 40US$/60CA$ each = ______

                                     Total payment US$/CA$   ______


            Name: _________________________ Date:_______________

Installation KEY: ______________________________________________

          E-mail: _________________________

How did you hear about Full Roulette Counter?

________________________________________________

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