PC Software for Keno, Bingo, Blackjack, Web Design, and More...

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Print out the following form and send with your mail order

Please PRINT or TYPE the following information:

Registration form for Games / Programs:
        


Last name: ___________________________________

First name: ____________________________________

Street and #: ______________________________________

City, State, postal code: ________________________________

Country: _______________________________________

Phone: _____________________________________

Fax: ________________________________________

E-Mail: ______________________________________


** Important: FOR Keno Reeves Games ONLY **
REGISTRATION NUMBER from the Registration menu option (Keno) or
from the How to Register screen (Bingo). This is not required for
the new KR Video Keno V4.0 game.

including dashes: _______________________________________________

*** Registration CAN NOT be processed without the Registration Number ***

Transaction Amount (in US currency): $_________________________

To Order on CD (** US orders ONLY) ** add an additional: $ 5.00

How would you like to receive the registration unlock key? (Circle one)

e-mail   -   fax

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For Mail-in orders, send your check or money order (made out to Cyrens Solutions) to the following address. For Keno Reeves Bingo, PLEASE be sure to include your REGISTRATION NUMBER from the game, and your EMAIL address so that we can send your unlock/registration code to you immediately.

To contact Cyrens Solutions use the address listed here: Cyrens Solutions
P.O. Box 992
Oswego, IL 60543
Phone: (630) 554-9408

OR
Email us at
sales@cyrens.com


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