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Text File  |  1994-06-01  |  6KB  |  81 lines
  1.  ==============================================================================
  2.  |                            SOFTWARE ORDER FORM                             |
  3.  ==============================================================================
  4.  |                                                                            |
  5.  | Today's Date: _______________________________ BBS Phone: (___) ____-______ |
  6.  |                                                                            |
  7.  | Your Name:________________________________________________________________ |
  8.  |                                                                            |
  9.  | BBS Name :________________________________________________________________ |
  10.  |                            (Maximum of 40 characters)                      |
  11.  |                                                                            |
  12.  | Be sure to PRINT or TYPE the above information EXACTLY as you will enter   |
  13.  | it in the .CFG file.  The case IS VERY important when I create the serial  |
  14.  | numbers.                                                                   |
  15.  |                                                                            |
  16.  | Street:_____________________________________  Voice Phone:(___) ____-_____ |
  17.  |                                                                            |
  18.  | City:__________________________ State:___________ Zip Code:_______________ |
  19.  |                                                                            |
  20.  | BBS Software:_______________ Ver #:_____ Modem:____________ Baud:_________ |
  21.  |                                                                            |
  22.  |============================================================================|
  23.  | How did You received this Program: [ ] From a BBS  [ ] * Off a CD ROM Disk |
  24.  | * If off a CD ROM Disk, which one?________________________________________ |
  25.  |============================================================================|
  26.  |   Name of Program                     Ver     Cost      [√]       Amount   |
  27.  |============================================================================|
  28.  |  Scuba Diving Training & Trivia       v3.0   $19.00     [ ]      $_______  |
  29.  |  USCG Captains License Quiz           v1.0   $19.00     [ ]      $_______  |
  30.  |  Cheers! Trivia                       v1.0   $19.00     [ ]      $_______  |
  31.  |  James Bond! Trivia                   v1.0   $19.00     [ ]      $_______  |
  32.  |  Elvis Presley! Trivia                v1.0   $19.00     [ ]      $_______  |
  33.  |  70's! Trivia                         v1.0   $19.00     [ ]      $_______  |
  34.  |  Fire-Rescue! Trivia                  v1.0   $19.00     [ ]      $_______  |
  35.  |  Christmas! Trivia                    v1.0   $19.00     [ ]      $_______  |
  36.  |  Canadian! Trivia                     v1.0   $19.00     [ ]      $_______  |
  37.  |                                                                            |
  38.  |  DISCOUNT: If you order more than ONE door program, subtract $3.00 for     |
  39.  |  each door program ordered.                                                |
  40.  |                                                                            |                                                                             |
  41.  |                                                       Sub Total: $________ |
  42.  | ========================================================================== |
  43.  |  *** Shipping Information ***                                              |
  44.  |                                                                            |
  45.  |  Send Registration via:    [ ] US Mail / [ ] You Download / [ ] Fido Mail  |
  46.  |                                                                            |
  47.  |  If shipped via Diskette there is a additional Handling Charge:  $ 3.00    |
  48.  |  Disk Size: [ ] 5.25"  [ ] 3.5"                                            |
  49.  |                                                                            |
  50.  |  If the Author is to Upload to You, the additional charge is:    $ 2.00    |
  51.  |  (Set up an account under the logon name of - TRIVIA AUTHOR                |
  52.  |  with the password - YourRegKey).                                          |
  53.  |                                                                            |
  54.  |  If shipped via Fido Mail there is an additional Phone Charge:   $ 1.00    |
  55.  |  FidoNET Address (MUST be in ZONE 1 ONLY): ____:______/______              |
  56.  |                                                                            |
  57.  |                                              Added for Shipping: $________ |
  58.  |                                                                            |
  59.  |  Payment by: [ ] Check  [ ] Money Order                                    |
  60.  |              [ ] Credit Card (include form CHARGE.IT with your order)      |
  61.  |                                                                            |
  62.  |                                                  Total Enclosed: $________ |
  63.  |============================================================================|
  64.  |   Authors BBS: Blue Water BBS (305) 442-6000 USR HST/DS 16.8k 8,N,1        |
  65.  |                                                                            |
  66.  | If you choose to download your registration from the above BBS, it will be |
  67.  | available as a .ZIP file using the first 8 characters in your last name.   |
  68.  | It will attached in a Private Message to you for you to download it.       |
  69.  |                                                                            |
  70.  |           I will pre-register you with first / last name above.            |
  71.  |                                                                            |
  72.  |    Password you wish to use:______________ Date of Birth: ___/___/___      |
  73.  |============================================================================|
  74.  | Make Funds Payable To: Dan Bernasconi         Thank you for your support.  |
  75.  |                                                                            |
  76.  | Mail To: Dan Bernasconi                                                    |
  77.  |          P.O. Box 430955                                                   |
  78.  |          South Miami, FL 33243-0955           Orders Are Shipped Promptly  |
  79.  |============================================================================|
  80.   06/01/94 rev
  81.