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Text File  |  1994-08-21  |  3KB  |  48 lines
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  2.  ║ ░▒▓█ PBNEWS █▓▒░   Version 2.0     (c) 1994 Magic Software Ltd.         ║
  3.  ╚═════════════════════════════════════════════════════════════════════════╝
  4.                                                                             
  5.                                                                             
  6.                        PBNEWS REGISTRATION FORM                            
  7.                                                                             
  8. BBS NAME : _____________________________________________    14 US$  USA-Canada
  9.                                                             27 FL   Netherlands
  10. Sysop Name : ___________________________________________    27 DM   Germany
  11.                                                             16 AUD  Australia
  12. Your real Name : _______________________________________   500 BEF  Belgium
  13.                                                                             
  14. Where did you obtain PBNEWS :__________________________                    
  15.                                                                             
  16. Name to put in Registered Version :                                         
  17. Registered to __________________________________________                    
  18.                                                                             
  19. Your Data Phone : ______________________________________                    
  20. Your Voice Phone : _____________________________________                    
  21. Your Fax Phone : _______________________________________                    
  22.                                                                             
  23. Your On-Line Hours : ___________________________________                    
  24.                                                                             
  25. Address : ______________________________________________                    
  26.          _______________________________________________                    
  27.          _______________________________________________                    
  28.          _______________________________________________                    
  29.          _______________________________________________                    
  30.          _______________________________________________                    
  31.                                                                             
  32. I would like to register _____ copies of ZIPLOGO                            
  33.                       x  500 BEF              Send to : Steven Debruyn      
  34.   14 US$  USA-Canada  _________                         Regentiestr 40      
  35.   27 FL   Netherlands                                   9473 Welle          
  36.   27 DM   Germany     .........  BEF                    Belgium             
  37.   16 AUD  Australia   .........  BEF (postage)                              
  38.  500 BEF  Belgium     _________                  FAX : +32-53-67.38.44      
  39.                                                  BBS : +32-53-67.19.11      
  40.                       .........  BEF                                        
  41.  
  42. If the key can not be sent by netmail or you can't download it from
  43. our BBS do NOT FORGET to add 100 BEF for postage and packaging.
  44.  
  45. You can transfer the money to our account 421-3112769-25 KredietBank 
  46. (This is the preferred method, do not forget to send the regform !)
  47.  
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