REGISTRATION FORM For : P I P E S NAME : _______________________________________ ADDRESS : __________________________________________________ CITY : _____________________________ STATE : ______________ ZIP : ______________ PHONE : (OPTIONAL) __________________ WHERE YOU AQUIRED : BBS ___ SHAREWARE ___ OTHER _____________ When you register this program, you will receive a personalized version, and my next game FREE. Personalized Version $10.00 Please include your payment , either personal check or a money order with this form made payable to : ROY L. PERSON SR. 336 Elmwood Lane Hayward, Calif. 94541 Disk Size Needed : 5 1/4 ___ 3 1/2 ___