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/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr35 / pcbnet54.zip / REGISTER.DOC < prev   
Text File  |  1993-05-18  |  3KB  |  63 lines
  1.  
  2.               Registration Form for PCB-Net v5.4 for PCBoard 15.0
  3.  
  4. Sysop Name:______________________________________________(Print Clearly Please)
  5. BBS Name  :______________________________________________(Print Clearly Please)
  6. BBS Phone :______________________________________________(Print Clearly Please)
  7. Home Phone:______________________________________________(Print Clearly Please)
  8.  
  9. Password to Use On BBS:__________________________________(Print Clearly Please)
  10.  
  11. Registration is welcomed by: personal check, or money order, with no charge for
  12. shipping and handling.  You will just need to call the BBS and download your
  13. PCBNET.KEY file (if using a credit card, $12.00 will be charged).
  14.  
  15.  
  16.                                                    Enclosed $10.00:____________
  17.  
  18. Registration is also welcomed by: VISA, MasterCard, Diners Club,Carte Blanche,
  19. or JCB cards. For all credit card orders shipping and handling will be
  20. automatically added to the initial registration cost.
  21.  
  22. Enclosed is $12.00 for the Registered Version of PCB-Net v5.4
  23.  
  24. [] VISA, [] MasterCard, [] Diners Club, [] Carte Blanche, [] JCB
  25.  
  26. Card Number:____________________________________ Expiration Date:_____________ 
  27.            
  28.  
  29. Card Holder's Signature REQUIRED:_____________________________________________ 
  30.                                           
  31.  
  32.  
  33. Shipping Address:_____________________________________________                 
  34.                  _____________________________________________
  35.                  _____________________________________________                 
  36.                  _____________________________________________
  37.                  _____________________________________________                 
  38.                 
  39.                                                    Enclosed $12.00:___________
  40.       
  41. Make Checks Payable to:
  42.  
  43. Cam DeBuck Software
  44. 235 East 1300 North
  45. Springville, UT  84663
  46.  
  47. If you have any comments, please let me know:
  48. ______________________________________________________________________________
  49. ______________________________________________________________________________
  50. ______________________________________________________________________________
  51. ______________________________________________________________________________ 
  52.                                                                  
  53.                                                                              
  54. *DO NOT SEND CASH -- Please use a Check or a Money Order *
  55. * If you are Registering outside the U.S. or Canada, please be sure to send
  56. * your Registration Money in U.S. Currency Funds (Money Order in U.S. Funds)
  57.  
  58. For Technical help call (801)489-4878
  59. For BBS Support/Ordering call (801)489-3558 [HST 1440]
  60.  
  61. We will be on vacation from April 8th, 1993 through April 21st, 1993.  Please
  62. be patient while we are away.
  63.