WORLD NAME GAME
                              Version 1.0
                         Registration/Complaints
                             SERIAL # xxx12

My Name:_________________________________________________________

Street: _________________________________________________________

City:   _________________________________ State: ________________

Zip:    _______________________Date:   __________________________

                     Registration fee for WNG - $15 

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The problem is :__________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

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I suggest the following improvement(s):____________________________

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 send to: Robert L. LLoyd
          191 Via De La Reina 
          Merritt Island, FL 32953