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Text File  |  1994-06-26  |  3KB  |  118 lines
  1. ORDER FORM FOR THE WALL OF WISDOM
  2.  
  3.     Send order form to:
  4.  
  5.         Jimmy Rose
  6.         2000 Linden Ave.
  7.         Middletown, OH
  8.         45044-4435
  9.     USA
  10.  
  11.         $10 to register The Wall of Wisdom ($8 + $2 P/H)
  12.     
  13.         Please note, this price is only guarenteed till Dec 31, 1994.
  14.  
  15.  
  16.         >>> Make Check or Money Order payable to: Jimmy Rose <<<
  17.  
  18.  
  19.                             ORDER FORM
  20.  
  21. ---------------------------- CUT HERE ----------------------------------
  22.  
  23.                        PLEASE PRINT CLEARLY
  24.  
  25.  
  26.     Name:_____________________________________________________
  27.  
  28.  
  29.     Company:__________________________________________________
  30.  
  31.  
  32.     Street address:___________________________________________
  33.  
  34.  
  35.     City/State:___________________________ ZIP code:__________
  36.  
  37.  
  38.     Country:__________________________________________________
  39.  
  40.  
  41.                  The following information is optional
  42.  
  43.  
  44.         Phone:________________________ FAX:_______________________
  45.  
  46.  
  47.     Age:_____________ Occupation:_____________________________
  48.  
  49.  
  50.  
  51.  
  52. **      Following are network addresses for various networks,
  53. **      If you have an address for a network please enter it:
  54.  
  55.         FidoNet:__________________________________________________
  56.  
  57.  
  58.     InterNet:_________________________________________________
  59.  
  60.  
  61.         CompuServe:_______________________________________________
  62.  
  63.  
  64.     Other:____________________________________________________
  65.  
  66.  
  67. **      If you operate a BBS, fill out the next fields:
  68.  
  69.  
  70.         BBS Name:________________________________________________
  71.  
  72.         BBS Software:____________________________________________
  73.  
  74.  
  75.         BBS phone number(s):
  76.  
  77.     _________________________________________________________
  78.  
  79. **      Please tell us about your computer:
  80.  
  81. **      Machine type:
  82.  
  83.     [ ]     386SX           Processor speed:________MHz
  84.     [ ]     386DX
  85.         [ ]     486SX           Type of Printer:___________
  86.     [ ]     486DX
  87.         [ ]     Pentium
  88.     [ ]     other:__________________________
  89.  
  90.     RAM:_______MB           Harddisk:________MB
  91.  
  92. **      Please tell us what version (if any) of listed software
  93.         you have on your computer:
  94.  
  95.         DOS__________  WINDOWS__________  OS/2____________
  96.  
  97.  
  98. **      Please tell us where you discovered The Wall of Wisdom
  99.  
  100.         ________________________________________________________
  101.  
  102.  
  103.         ________________________________________________________
  104.  
  105.  
  106. **      Please insert your comments about The Wall of Wisdom
  107.       
  108.  
  109.     _________________________________________________________
  110.  
  111.  
  112.     _________________________________________________________
  113.  
  114.  
  115.     _________________________________________________________
  116.  
  117.  
  118.