R E G I S T R A T I O N          F  O  R  M



          I would like to register Caverns of Chaos. Enclosed is my
  registration fee of:
                     ____$1.00 Reduced Registeration fee (Full reg. status)
                     ____$3.00 Registration (Registared copy on disk)
                     ____$10.00 `Contributor' Registeration Fee
                                     --Registared copy of Chaos
                                     --disk of choice
                                     --Beta copy of chaosII (when completed)
                                     --Name included in "special thanks'
                                           section of chaos II
                                     -- (Knowledge that your supporting a 
                                            good cause plus , all monies
                                             received will eventually be put
                                               back into the U.S. Economy)     
                                 


   PLEASE     F I L L     OUT    Y O U R     NAME    A N D      ADDRESS

NAME___________________________________________________________________________

ADDRESS__________________________________________________________________________

CITY & STATE______________________________________________________________________

ZIPCODE_________________________________________________________________________

**************O P T I O N A L**************** I N F O R M A T I O N ******************************************
 
COMPUTER BRAND & SPEED_________________________________________________________

MODEM TYPE_____________________________________________________________________

FAVORITE PC GAMES______________________________________________________________

COMPUTER LANGUES KNOWN_________________________________________________________




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                                                   _______    
                                                  !       !
                                                  !       !
    Mail your registeration fee to:               !       !
                                                  !_______!     
                          Paul Martinez
                          Greely Square Station
                          P.O. Box 20178
                          New York,  N.Y.



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           CAVERNS OF CHAOS IS COPYRIGHTED AND ALL RIGHTS ARE RESERVED
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