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Text File  |  1994-01-11  |  3KB  |  46 lines
  1.                      
  2.  
  3.  
  4.                   LAIRWare Betatest-Support/Distribution Application
  5.       ---------------------------------------------------------------------
  6.       BBS Name:_________________________________________________
  7.       BBS Phone Number:_________________________________________
  8.       Hours of Operation:_______________________________________
  9.       Maximum Connect Rate:_____________________________________
  10.       Software Used:__________________________ Rev. #___________
  11.       ---------------------------------------------------------------------
  12.       Sysop name:_______________________________________________
  13.       Address:__________________________________________________
  14.       Voice Phone Number:_______________________________________
  15.       Age:______________________________________________________
  16.       ---------------------------------------------------------------------
  17.       Tell us a little about you and your BBS:__________________
  18.       __________________________________________________________
  19.       __________________________________________________________
  20.       __________________________________________________________
  21.       __________________________________________________________
  22.       __________________________________________________________
  23.       __________________________________________________________
  24.       ---------------------------------------------------------------------
  25.       I would like to be a
  26.           _____Beta test site
  27.           _____Support site
  28.           _____Distribution site
  29.             for LAIRWare software products.
  30.       ---------------------------------------------------------------------
  31.       What LAIRWare programs have you tried?______________________
  32.       ____________________________________________________________
  33.       ____________________________________________________________
  34.       ---------------------------------------------------------------------
  35.       All information on this application may be verified by LAIRWare or
  36.       it's authorized agents. I certify that all information presented
  37.       is true and accurate to the best of my knowledge and authorize
  38.       LAIRWare or it's authorized agents to investigate any and all
  39.       information I have supplied. This application in no way represents
  40.       a contract or agreement between myself, and LAIRWare or it's
  41.       authorized agents, and is simply a request for information
  42.       concerning the Betatest, Support, Distribution of LAIRWare
  43.       software.
  44.       Signature_________________________________________
  45.       Date____________
  46.