953 E. Sahara Avenue, Suite 9B
Las Vegas, Nevada   89104-3012
Voice:         +1-702-732-9616
FAX:           +1-702-732-3847
CompuServe:         71154,2002
E-mail:   CFSPoker@cfsrexx.com

Name: _______________________________________________________________________________________________________

Company: ____________________________________________________________________________________________________

Address: ____________________________________________________________________________________________________

         ____________________________________________________________________________________________________

City, State, Zip, Country: __________________________________________________________________________________

Credit Card (circle one):
            M/C   Visa   Discover   Amex   #_________   _________   _________   _________  Exp: _____ / _____

Voice: _____________________   E-mail: _________________________________________   FAX: _____________________

The name on this order form must match the name on the credit card. The retail price of a CFSPoker key is $34.95 (USD) per system. Acceptable forms of payment include: credit cards - MasterCard, Visa, Discover, and American Express; or a check payable C F S Nevada, Inc. in US dollars and drawn on a US bank. Credit card numbers should not be sent via the Internet unless you are running a secure browser (IBM's Secure Web Explorer and Netscape Navigator for OS/2 2.0.2 beta qualify); however, credit card orders can securely be FAXed or E-mailed via CompuServe to our CompuServe E-mail addresses shown on the order form. All orders must include your postal mailing address (same as credit card billing address). Credit card orders from the following states will be charged the appropriate sales or use tax: NV, PA.

Our online order form can be used if you are running a secure browser. Netscape for OS/2 and the IBM OS/2 Secure Web Explorer qualify as a secure browser.

Warning!

Any attempt to defeat the integrity of CFSPoker or any of its components will render the program inoperable and will necessitate reinstallation of the program. User changes to the CFSPoker.INI file are not allowed until a valid CFSPoker.KEY has has been installed.

 
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This document was converted from IPFC source with a proprietary program from C F S Nevada, Inc.
This URL is: <http://www.cfsrexx.com/CFSPoker/RegForm.html>
© 1995-1997 by C F S Nevada, Inc.
Last update: 30 November 1996

C F S Nevada"s home page <http://www.cfsrexx.com>.