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Text File  |  1993-10-04  |  956b  |  40 lines

  1. DBq REGISTRATION Form
  2.  
  3. TO:   Harvey Parisien
  4.       Box 323 Station A,
  5.       Kingston, Ontario, Canada K7M 6R2
  6.  
  7.       FIDONET 1:249/114
  8.  
  9. Your DBq license entitles you to use all FUTURE UPDATES FREE.
  10.  
  11. Please find enclosed my registration fee of $15.00us
  12.  
  13. ...per installation by [ ] cash, [ ] check, [ ] money order in US funds.
  14.  
  15.         Date: _____/_____/_____ (mm/dd/yy)        (Ontario orders add PST)
  16.  
  17. Organization: ____________________________________________ (if applicable)
  18.  
  19.   Users Name: ____________________________________________
  20.  
  21. Mail Address: ____________________________________________
  22.  
  23.  City, State: __________________________________(________)
  24.  
  25.  Voice Phone: ____________________________________________
  26.  
  27. Data Phone -or- Fido Address:   __________________________
  28.  
  29. CURRENT DBq VERSION:    _______________________________
  30.  
  31.  
  32.  
  33.       Yours truly;
  34.  
  35.  
  36.  
  37.  
  38.                   ___________________________________
  39.  
  40.