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/ ShareWare OnLine 2 / ShareWare OnLine Volume 2 (CMS Software)(1993).iso / bbsdoors / flmake15.zip / REGISTER.DOC < prev   
Text File  |  1993-02-10  |  1KB  |  47 lines
  1. Registration Form for OILER's RENEGADE Utilities:
  2.  
  3.  
  4.  
  5. Name and version of utility you are registering_____________________________
  6.  
  7. Comments about this utility_________________________________________________
  8.  
  9. ____________________________________________________________________________
  10.  
  11. ____________________________________________________________________________
  12.  
  13. ____________________________________________________________________________
  14.  
  15. ____________________________________________________________________________
  16.  
  17. ____________________________________________________________________________
  18.  
  19.  
  20.  
  21. The following information is used so I can make a user record of you in
  22. Renegade, so that when you call my BBS, you will be a validated and
  23. registered user.
  24.  
  25. User Name/Handle____________________________________________________________
  26.  
  27. Real Name___________________________________________________________________
  28.  
  29. Address_____________________________________________________________________
  30.  
  31. City__________________________________  State_____________  Zip_____________
  32.  
  33. Birthdate_____________________________  Phone Number (     )     -
  34.  
  35. Password you want to use____________________________________________________
  36.  
  37. Computer Type and Model_____________________________________________________
  38.  
  39.  
  40. Please Fill in ALL blanks, and send this along with $5.00 to:
  41.  
  42. Mike Nichols
  43. 5895 Gentry Ln.
  44. Carson City, NV.
  45. 89701
  46.  
  47.