************************* COLUMNS  Registration Form *************************


	Yes,I want to register for this little game.
	
	NAME:_____________________________________________

	ADDRESS:__________________________________________        
	
		__________________________________________  
	
	CITY:_______________ STATE:____________ ZIP:______
		
	COUNTRY:__________________________________________
	
	INTERNET E-mail:__________________________________

	Please choose the registration you prefer:

	[ ] $6.00    :Register only (no disk sended).
	[ ] $10.00   :Register and received a disk/w lastest Columns.
	[ ] $12.00   :Same as $10,but include source code.
	[ ] 150 Bath :For register in Thailand(include a disk/w source code).
	
	Disk size:      
			[ ] 3.5"     
		 
			[ ] 5.25"
	
	Payment method: 
			[ ] Money order
			
			[ ] Certified check of City Bank

			[ ] Certified check of Thai Banks

Bug report and comment about Columns:_______________________________________

 ___________________________________________________________________________

 ___________________________________________________________________________

 ___________________________________________________________________________



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	Please send to:
			
			VIRACHAT BOONDHARIGAPUTRA

			82/391,SOI CEMENT THAI 17,

			PHACHACEUN RD.,BANGKOK 10900

			THAILAND


