Print this form and mail along with a Check or money Order
for $14.99 US Funds, to:
Matthew Benjamin
1695 NE 230th
Once
payment is received, Registration code will be sent within 24 hours.
Also available on CDROM or FLOPPY
diskette for $19.99. You will receive a registration code in your
E-mail for instant use, and you also
will be mailed a fully functional backup version on CD-Rom or floppy disk.
(Address required US residents
only). If ordering backup copy, please specify one of the following.
CDROM________________FLOPPY________________
Make checks payable to Matthew Benjamin. Fields marked with an * are required. E-mail address is
needed to send you your
registration code and will not be used for any other purpose.
*Name
______________________________________________________________________________
*Serial #_____________________________________________________________________________
(Serial # is located on
Registration nag screen and under the "Help\About" menu in MultiPay
Poker)
Address
_____________________________________________________________________________
____________________________________________________________________________________
*E-Mail
_____________________________________________________________________________
Do you wish to receive notifications
of free updates? Yes__________ No__________
Suggestions or Comments_____________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________