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ORDER.FRM
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1993-08-29
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4KB
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116 lines
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VID - ORDER FORM
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(Please see the VID manual for instructions on ordering).
YOUR NAME : _______________________________ (AS SHOULD APPEAR IN
REGISTRATION)
POSTAL ADDRESS : ______________________________________________________
______________________________________________________
VOICE PHONE NUMBER : ______________________
NETWORK ADDRESSES : ____________________________________ (IF APPLICABLE)
BBS PHONE NUMBER : ______________________ (IF APPLICABLE)
BEST TIME TO CALL : __________________ OUR PASSWORD : __________
(ONLY IF YOU WISH TO RECEIVE YOUR ORDER BY A MESSAGE ON YOUR BBS)
___
I WISH TO RECEIVE MY ORDER BY: | | - FIDONET "CRASHMAIL"
|___|
___
| | - CALL TO MY BBS
|___|
___
| | - CALL TO UNDER THE NILE BBS
|___|
I HAVE ALSO SENT PAYMENT OF $15 (FIFTEEN) AMERICAN DOLLARS IN THE FORM OF:
___
| | - CASH
|___|
___
| | - PERSONAL CHECK
|___|
___
| | - MONEY ORDER
|___|
MADE PAYABLE TO: SCOTT BURKETT
____________________________
(SIGNATURE)
MAIL TO: SCOTT BURKETT
1113 29TH STREET
COLUMBUS, GEORGIA
31904
+-- OFFICE USE ONLY ------------------------------------------------------+
| |
| Rcvd : _______ Date : _________ S.N. : _________ Key : _____________ |
+-------------------------------------------------------------------------+
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VID - ORDER FORM
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YOUR NAME : _______________________________
POSTAL ADDRESS : ______________________________________________________
______________________________________________________
VOICE PHONE NUMBER : ______________________
NETWORK ADDRESSES : ____________________________________ (IF APPLICABLE)
WHERE DID YOU RECEIVE YOUR COPY OF VID?
____________________________________________________________
WHICH BBS AND VERSION ARE YOU USING? (EG. MAXIMUS v2.00, RA v1.11, etc)
____________________________________________________________
WHAT DO YOU LIKE MOST ABOUT VID?
____________________________________________________________
____________________________________________________________
____________________________________________________________
WHAT CHANGES OR ADDITIONS WOULD YOU LIKE TO SEE IN FUTURE VERSIONS?
____________________________________________________________
____________________________________________________________
____________________________________________________________
DO YOU HAVE ANY ADDITIONAL COMMENTS?
____________________________________________________________
____________________________________________________________
____________________________________________________________
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