Dinosaur Gamers
Registration & Survey Form

We appreciate that you are taking the time to register your new software and will send free stuff to your address to show our thanks!

Your Name:


Address:


Phone Number:


Game that you are registering:


Serial Number:


Thank you for registering with us. Please tell us a little more about yourself so that we can better serve you in the future:

I purchase games for:
  1. Power Mac
  2. Macintosh
  3. Windows 95
  4. Windows 3.x
  5. DOS
  6. Amiga
I enjoy the following types of games:
  1. Adventure
  2. Arcade ShootEmUp
  3. Role Playing
  4. Edutainment
  5. Pinball
Age of people that will be using the software:
  1. Under 5
  2. Six - Ten
  3. Ten - Fifteen
  4. Fifteen - Twenty
  5. Twenty - Thirty
  6. Over 30
Thank you for completing this form.

To complete the process,
simply

or, if you made some mistakes,
you can or just go back.
©Ken Kaleta 1997, 1998, 1999