         Vegas Poker and BlackJack v2.0 for Windows/Win95  
                 Registration & Order form

=============================================
Compuserve members go SWREG, use ID#9783 or 
ID#9291 for the MEGA-CD offer
Or order online at: hppt://www.galttech.com
=============================================

Please provide the following information:       ______________
                                                          Date
____________________________     _____________________________
First Name                       Last Name

_________________________   __________________________________
Street                      City       State/Pr       Zip

_____________    __________________      _____________________
Country          Phone                   Fax (optional)

______________________________________________________________
E-mail address

______________________________________________________________
Where did you find Vegas Poker and BJ? (optional)

______________________________________________________________
Comments or suggestions? We love to hear from customers!

==============================================================
Item                                   Qty     Price     Total
==============================================================
Register: Yes! Please send me... (select option #1, #2, or #3)

Option#1 = $19
1. Vegas Poker and BlackJack only      ___  x  $19.00   $_____

                        OR

Option#1 = $29
1. Vegas Poker & BlackJack            ___  x  $29.00   $_____
2. Full Motion Video Screen Saver CD   same     FREE     FREE
3. Galt Game Disk (4 add'l games)      same     FREE     FREE
                  
                        OR

Option#2 -- MEGA-CD (all 23 of our programs) for just $39
1. MEGA-CD                             ___  x  $39.00   $_____
Includes:
2. All the above (Vegas/FM/GameDisk)   same     FREE     FREE
3. 375 color photos on CD              same     FREE     FREE
4. 12 additional screen savers         same     FREE     FREE
5. 5 additional utilities              same     FREE     FREE	



Shipping & Handling  (International $6)                 $  3
California residents please add 7.75%                   $_____
sales tax:


                         GRAND TOTAL:                   $______
===============================================================

Payment Method:  (indicate by marking X)  US$ only, checks from US bank
Check __    Money Order __     VISA ___    MC ___

____________________________________________
VISA/Mastercard Card #

Expiration Date:  Month/Year     ___/___

______________________         _______________________
Signature                      Cardholder Name

If VISA or Mastercard, you can phone in order
to 800-580-0742 or (408)730-2467 or mail or fax this order form
with your card number and expiration date. Credit card
orders can even be left on the voicemail system during
off-hours as long as this complete information is provided.

===============================================================
Please mail your completed registration form and **payment** to:

Galt Technology  -- Vegas Poker v2.0
14510 Big Basin Way, Suite #195
Saratoga,  CA  95070   USA
(408)730-2467
or call: (800)580-0742 for faster service with credit card order
E-mail: info@galttech.com
Internet: http://www.galttech.com

Thank you for supporting the shareware concept and encouraging 
the future development of other useful and exciting applications!

