LOOPUPS REGISTRATION FORM
                        ~~~~~~~~~~~~~~~~~~~~~~~~~
                   
                  Send to: Chris Quinn -- THE LOOP BBS             
                           6233 Delmar, Apt. 203
                           St. Louis, MO 63130 

                  Node 1: (314) 862-1253 (2400 V.22bis)
                  Node 2: (314) 862-1261 (9600 V.32/V.42bis)

      
      Name    _____________________________________________________________

      Address _____________________________________________________________

              _____________________________________________________________

      City    ___________________  State/Province _________________________

      Country ___________________  Zip Code _______________________________

      Voice Phone (optional)  _____________________________________________

      Case-Sensitive BBS Name _____________________________________________

      No. Nodes _____ BBS No. _____________________________________________
     

  ==========================================================================

  LOOPUPS Version 1.00 Registration
  ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


  ___ Standard Registration                US $10.00  X  [  ]    $______.___

  
  ___ Shareware Author Courtesy Registration                      ***FREE***

      Name of your free software ____________________________  

                                 ____________________________



                                                      TOTAL      $______.___


  ___ I will call THE LOOP BBS for my registration number.

  ___ Please send me my registration number at the above address.

  ==========================================================================

         Please make checks and money orders payable to Chris Quinn.  

                                 Thanks!