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Text File  |  1994-03-07  |  779b  |  26 lines
  1.                          Request Bulletin REGISTRATION FORM
  2.  
  3.           Registration of Request Bulletin v1.0 is $5.00. Payment is to be
  4.           made in U.S. funds only. Please answer all of the following
  5.           questions.
  6.  
  7.           Name_________________________________________________________
  8.  
  9.           Address______________________________________________________
  10.  
  11.           City_____________________State__________________Zip__________
  12.  
  13.           BBS Name_____________________________________________________
  14.  
  15.           BBS Phone Number_____________________________________________
  16.  
  17.  
  18.                      THANK YOU FOR REGISTERING Request Bulletin
  19.  
  20.           Mail to:
  21.  
  22.           Charles F. Poynter
  23.           Box 116
  24.           Hector, AR 72843
  25.  
  26.