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Text File  |  1993-06-15  |  2KB  |  62 lines
  1.                       POSTLINK ORDER FORM
  2.  
  3. DO YOU ALREADY OWN PCRELAY SOFTWARE? [ ] HUB SOFTWARE [ ] NODE SOFTWARE
  4.  
  5. SYSOP'S NAME:_________________________________________________________
  6.  
  7. MAILING ADDRESS:______________________________________________________
  8.  
  9. CITY:____________________________  STATE:___________  ZIP:____________
  10.  
  11. COUNTRY:______________  ADDITIONAL POSTAL:_____________ _______________
  12.  
  13. VOICE TELEPHONE:______________________________________________________
  14.  
  15. IS THIS PHONE:  [ ] HOME       [ ]  BUSINESS
  16.    (whereever possible please provide a home phone number)
  17.  
  18. BBS NAME:_____________________________________________________________
  19.  
  20. BBS TELEPHONE:________________________________________________________
  21.  
  22. NUMBER OF NODES:___________  MAXIMUM BAUD RATE:_______________________
  23.  
  24. NUMBER OF YEARS BBS IN OPERATION:_____________________________________
  25.  
  26. BBS SOFTWARE:_________________________________________________________
  27.  
  28. NODE ID DESIRED_(up to 12 letters):___________________________________
  29.  
  30. SERIAL NUMBER(if PCRelay node software already issued)________________
  31.  
  32. WHICH BBS NETWORK ARE YOU USING THIS SOFTWARE WITH?___________________
  33.  
  34. DO YOU NEED INFORMATION ON NETWORKS?               [ ] YES      [ ] NO
  35.  
  36.  
  37. SIGNATURE:________________________________________  DATE:_____________
  38.  
  39. Please complete and return this form to:
  40.  
  41.                             Bonnie Anthony, M.D.
  42.                             6901 Whittier Blvd.
  43.                             Bethesda, MD 20817
  44.  
  45. FAX Number 301-229-7574
  46. Voice = W:301-229-7028 H: 301-229-7244 BBS:301-229-5623/5342;
  47.                                            301-320-9310
  48. POSTLINK Software = $50 American
  49. RIME membership = $25
  50. P&BNet membership = $0
  51.  
  52. Now accepting Visa/Master Card - fax your form and credit card
  53. number,including your expiration date today, have your software
  54. available for download from my bbs within 24 hours whenever possible.
  55. Please include a password so I may register you on my BBS.
  56.  
  57. CREDIT CARD NUMBER__________________________________________
  58.  
  59. EXPIRATION DATE_____________________________________________
  60.  
  61. PASSWORD_____________________________________________________
  62.