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REGFORM.ALL
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1995-11-14
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4KB
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77 lines
REGISTRATION
------------
CyberCom v1.50
Copyright (C) 1995, Megalomania Software
(All Other Registrations)
Megalomania Software
779 Cathcart Blvd
Sarnia, Ontario CANADA
N7V 2N6
BBS: 519-332-0638 28.8k vFC
EMAIL: jperciva@megalomania.com
HOW TO REGISTER:
- Please complete this form in its entirety from top to bottom. German and
Europe users please check seperate registration form. (REGFORM.GER, and
REGFORM.EUR respectively).
- Print this form and send it to MEGALOMANIA SOFTWARE with cheque or funds
enclosed.
- When your registration has been received and verified you will be sent
a registration code which will enable all registered features and allow
you to continue using CyberCom for as long as you wish.
CYBERCOM v1.50 - REGISTRATION FORM:
PERSONAL INFORMATION:
Company Name______________________________________ (Leave Blank if None)
BBS Name__________________________________________ (Leave Blank if None)
Contact_________________________________________________________________
(Use your real name: FIRST LAST, i.e. JOE USER)
Title________________________________ and/or [_] System Operator (SysOp)
Voice Phone (____)____-_____ Data Phone (____)____-_____
Fax Phone (____)____-_____ Data Phone 2 (____)____-_____
Street__________________________________________________________________
Suite/PO Box/Apt/Rt/Ms__________________________________________________
City____________________________ Stat/Province__________________________
Postal Code_________ Country: __________________________________________
Internet EMAIL Address: ________________________________________________
PAYMENT INFORMATION:
Select Form of Payment
[_] Cheque Enclosed [_] Cash [_] Money Order Enclosed
No. of Copies Pricing/Copy
1 $45.00
2 - 9 40.00 ORDER:
10 - 24 38.00
25 - 49 36.00 No of Copies: _____ @ $_____ = $______
50 - 99 35.00
100 - 149 33.00 Total Enclosed = $______
150 - 199 31.00
Signature (If this form is sent by mail)_________________________________