Lazy Dog Software
634 Copper Circle
Lewisberry, Pa. 17339
U.S.A.
Last name: ___________________________________
First name: ____________________________________
Street and #: ______________________________________
City, State, postal code: ________________________________
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E-Mail: ______________________________________
How would like to receive the registered (full) version?
e-mail [ ] - postal mail [ ]
Program Name Quantity
Price Total
============ ========
===== =====
Horse Rider Memories ____ @ $19.99 USD
____ (E-mail delivery only)
Baseball Memories ____ @ $19.99 USD ____ (E-mail delivery only)
In The Round ____ @ $4.99 USD ____ (E-mail delivery only)
Speed ____ @ $4.99 USD ____ (E-mail delivery only)
LineUp ____ @ $9.99 USD ____ (E-mail delivery only)
Userbase ____ @ $29.99 USD ____ (E-mail delivery only)
ShapeZapper ____ @ $9.99 USD ____ (E-mail delivery only)
____ Add $10 CD by Postal Delivery
____ Total Enclosed
Please DO NOT send CASH. Send only Money Order or a check drawn on a U.S. Bank payable to Michael Messerschmidt.