home *** CD-ROM | disk | FTP | other *** search
/ Software Vault: The Gold Collection / Software Vault - The Gold Collection (American Databankers) (1993).ISO / cdr36 / sr100.zip / REGISTER.TXT < prev    next >
Text File  |  1993-04-25  |  2KB  |  74 lines
  1.  
  2. Registration Form:
  3.  
  4.     P R I M E   B A S E   D O O R   R E G I S T R A T I O N   F O R M
  5.  
  6.    TO:  William Rountree                           Date___/___/___
  7.         4215 Madrona DR. S.E.
  8.         Apt # 12-3        
  9.         Port Orchard, WA. 98366-2745
  10.         206-871-2788 (Voice)
  11.  
  12.        (Please use capitalization and punctuation where necessary.)
  13.  
  14.  FROM:  SysOp Name: _______________________________________________
  15.  
  16.         BBS Name: _________________________________________________
  17.  
  18.         Address: __________________________________________________
  19.  
  20.         City: ______________________ State: __________ ZIP: _______
  21.  
  22.         Voice: (   ) _________________ BBS: (   ) _________________
  23.  
  24.         BBS Software: _____________________ BBS Hours: ____________
  25.  
  26.         Baud Rates:________________________
  27.  
  28. SOFTWARE                          VERSION                  PRICE
  29. --------                          -------                  -----
  30.  
  31. Adventurer's Maze.................. 1.51................. $15.00
  32.  
  33. Murder Mansion......................1.63................. $15.00
  34.  
  35. Space Race..........................1.00................. $15.00
  36.  
  37.                                                            _____
  38.  
  39. (WA residents add 7.8% tax)                                _____
  40.  
  41. Total                                                    $______
  42.  
  43.                            F E E D B A C K
  44.                            ---------------
  45.  
  46.  I learned of: ADVENTURER'S MAZE, MURDER MANSION, SPACE RACE from:
  47.  
  48.            [  ] - A Friend         [  ] - Computer Club
  49.            [  ] - BBS              [  ] - Compuserve
  50.            [  ] - GEnie            [  ] - Other
  51.  
  52.  COMMENTS: _____________________________________________________
  53.  _______________________________________________________________
  54.  _______________________________________________________________
  55.  _______________________________________________________________
  56.  _______________________________________________________________
  57.      
  58.  
  59.  
  60.  
  61.  
  62.  
  63.  
  64.  
  65.  
  66.  
  67.  
  68.  
  69.  
  70.  
  71.  
  72.  
  73.  
  74.