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/ Gold Medal Software 2 / Gold Medal Software Volume 2 (Gold Medal) (1994).iso / utils / jsfb4b15.arj / REGISTER.FRM < prev    next >
Text File  |  1993-09-12  |  1KB  |  42 lines
  1.                                -=- JSF-B4B -=-
  2.  
  3.                         ***** REGISTRATION FORM *****
  4.  
  5.                    Please enter your BBS INFORMATION below
  6.  
  7.             BBS NAME:____________________________________________
  8.  
  9.             BBS PHONE:___________________________________________
  10.  
  11.             VOICE PHONE: (optional) _____________________________
  12.  
  13.             BBS CITY:____________________________________________
  14.  
  15.             SYSOP NAME:__________________________________________
  16.  
  17.        (Note: The above information will show in your personalize copy)
  18.  
  19.  
  20.                    Please enter your MAILING ADDRESS below
  21.  
  22.             NAME:________________________________________________
  23.  
  24.             ADDRESS1_____________________________________________
  25.  
  26.             ADDRESS2_____________________________________________
  27.  
  28.             CITY:________________________________________________
  29.  
  30.             STATE:___________________  ZIP:______________________
  31.  
  32.                           REGISTRATION COST: $10.00 
  33.  
  34.               Send CHECK or MONEY ORDER (payable to JOHN FOWLER)
  35.               along with this completed registration form to...
  36.  
  37.                                 JOHN S. FOWLER
  38.                                15 BEVERLY HILL
  39.                               CANTON, MA  02021
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