home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Grand Slam 3
/
Grand Slam 3.iso
/
002
/
fe145.arj
/
REGISTER.ARJ
/
REGISTER.ISR
< prev
next >
Wrap
Text File
|
1995-06-30
|
3KB
|
69 lines
---------------------------------
Registration Form FastEcho Israel
---------------------------------
FastEcho can be registered with this form for users in Israel only.
If you/your boss are a member of FidoNet or VirNet, it's possible to
send your key(s) via crash-mail directly to you. Otherwise the key(s)
have to be sent on floppy-disk with additional costs for handling.
=============================================================================
Hereby I order a key for FastEcho.
Name : ______________________________________________________________
Street : ______________________________________________________________
City : ______________________________________________________________
Zip Code : _____________________
Country : ______________________________________________________________
Voice Tel #: _____________________
Net Address: __:____/____.____ [ ] FidoNet [ ] VirNet
BBS name : ______________________________________________________________
Mailer Program: [ ] FrontDoor [ ] D'Bridge [ ] BinkleyTerm
[ ] Other_______________________
BBS Program: _____________________________________
What Tosser where you using before using FastEcho?: _______________________
Comments: ______________________________________________________________
______________________________________________________________
ORDER INFORMATION
[ ] Key(s) for FastEcho POINT 54 NIS :NIS ____.--
[ ] Key(s) for FastEcho NODE 90 NIS :NIS ____.--
[ ] Key(s) for FastEcho UPGRADE (POINT TO NODE) 36 NIS :NIS ____.--
Number of existing POINT Key: _____
[ ] Send key(s) per disk, add 14 NIS :NIS ____.--
[ ] 5.25" 1.2Meg [ ] 3.5" 720K [ ] 3.5 1.44Meg
_______________________________________________________________________
Total :NIS .--
============
Payment Enclosed:[ ] CASH [ ] CHECK [ ] MONEY ORDER
[ ] Visa [ ] IsraCard
Credit Card Number: __________________________________________
Expiration Date: ___/___
Full Name of Card Holder : ______________________________________________
Personal ID of Card Holder : ____________________________________________
Signature of Card Holder : ______________________________________________
Please enter cardholder information if different from applicant.
Street : ______________________________________________________________
City : ______________________________________________________________
Zip Code : _____________________
Country : ______________________________________________________________
Voice Tel #: _____________________
I certify that this is my credit card, and or I am authorized its use.
I also understand that it is a federal crime to use a stolen credit card or
any other fraudulent use of a credit card or give a false number.
Make sure all checks are payable to: CHIEF DATA RECOVERY LTD.
Please send this form to: Rudy's Place BBS
PO BOX 8394
Rishon Le-Zion, 75253
ISRAEL
-----------------------------------------------------------------------------