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Text File  |  1993-03-10  |  1KB  |  49 lines
  1.                         QWKRick Registration Form
  2.  
  3.  
  4.  
  5. Name :                  ____________________________________
  6.  
  7.  
  8. Mailing Address:        ____________________________________
  9.  
  10.                         ____________________________________
  11.                                                    
  12.                         ____________________________________
  13.  
  14.                         ____________________________________
  15.  
  16.         
  17. Home Telephone:         ____________________________________
  18.  
  19.  
  20. SL Reg #                ____________________________________
  21.  
  22.  
  23. BBS TelePhone #         ____________________________________
  24.  
  25.  
  26. BBS Name                ____________________________________
  27.  
  28.  
  29. SL Net Node #           ____________________________________
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  31.  
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  34.      Please complete and return to :    Rick Macdougall
  35.                                         1785 Hartenstein
  36.                                         St. Laurent, Quebec, Canada
  37.                                         H4L 2P2
  38.  
  39.  
  40.      Along with $20.00 CDN per copy Ordered
  41.      (Cheque drawn on Canadian Bank or Money Order)
  42.  
  43.  
  44.  
  45.      Registration Codes will be Netmailed, Voice or by Mail       
  46.      depending on your Location.  Please give up to 7 days for
  47.      cheques to clear.
  48.                                         
  49.