ProBBS Registration Form

                            Duane Davis
                      4718 Meridian Ave. #376
                        San Jose, CA 95118
                          (408) 287-2353




       NAME .........................................................

    ADDRESS .........................................................

       CITY ............................. STATE .....................

   ZIP CODE .......................



VOICE PHONE ......................... BBS PHONE .....................

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REGISTRATION INFORMATION

  ProBBS version you are registering ............

  Amount enclosed $................

  Name of your BBS (enter name exactly as you want it to show in the
                    opening screen)

    ..................................................................


  Disk Format:  [ ] 5.25"     [ ] 3.5"


  [ ] check here if you want me to call you (collect if long distance) to
     give you your registration number.

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Support Board access information

Desired Password ..................

             Age ..................

 [ ] check here if you are 21 or older and wish access to the adult
     conference
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