    PlayIt v1.2 Registration form

    Please return this form along with your payment to:
    Shamrock Systems and Technology
    #428, 10636 - 120 Street
    Edmonton, Ab, T5H 4L5
    Canada

    Please make cheques payable to Shamrock Systems and Technology
    Please allow two to three weeks for delivery.

    You can contact Shamrock Systems for business other than orders at
    FAX:                    403-436-1573
    Compuserve              70274,24
    Internet                patrick@shamrck.ersys.edmonton.ab.ca


   _____ PlayIt v1.2 @ 24.95 Cdn (19.95 USD)                    _______

                                    - OR -

   _____ PlayIt v1.2 with Source Code @ 74.95 Cdn (59.95 USD)   _______
   

    Shipping & Handling:  US & Canada -  $3.00 Cdn (2.00 USD)   _______

                          International  $5.00 Cdn (4.00 USD)   _______

                                                 Total enclosed _______

    Payment by:  [     ] Cheque            [    ] Money Order
    Payment in:  [     ] Canadaian Funds   [    ] US Funds


    Name_______________________________________________________

    Address____________________________________________________

    City____________________State/Prov_________________________

    Zip/Postal________________ Country_________________________

    Phone (optional)___________________________________________

   Diskette format required: [ ] 3 1/2" 1.44   [ ] 5 1/4" 1.2

   Please indicate if you have a math coprocessor _____________

   Please list any comments or suggestions below.

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