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Text File  |  1993-07-11  |  3KB  |  70 lines

  1.     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
  2.  
  3.    TO:  William Rountree                           Date___/___/___
  4.         7806 Lisa Dr.
  5.         Apt # 203       
  6.         Norfolk, Va.  23518
  7.  
  8.        (Please use capitalization and punctuation where necessary.)
  9.  
  10.  FROM:  SysOp Name: _______________________________________________
  11.  
  12.         BBS Name: _________________________________________________
  13.  
  14.         Address: __________________________________________________
  15.  
  16.         City: ______________________ State: __________ ZIP: _______
  17.  
  18.         Voice: (   ) _________________ BBS: (   ) _________________
  19.  
  20.         BBS Software: _____________________ BBS Hours: ____________
  21.  
  22.         Baud Rates:________________________
  23.  
  24. Current versions as of 7/11/93
  25.  
  26. Doors                             VERSION                  PRICE     REG #
  27. --------                          -------                  -----   ----------
  28. Adventurer's Maze.................. 1.60 ................. $20.00  __________
  29.  
  30. Murder Mansion......................2.03 ..................$20.00  __________
  31.  
  32. Space Race..........................1.30 ..................$20.00  __________
  33.  
  34. BBS Putt Putt.......................1.11 ..................$15.00  __________
  35.  
  36. PCB Utilities                     VERSION                  PRICE     REG #
  37. -------------                     -------                  -----   ----------
  38.  
  39. Daily Report Generator..............1.01 ..................$10.00  __________ 
  40.  
  41. PCBoard Caller's Log Trimmer........1.00 ..................$ 5.00  __________
  42.  
  43.                                                            ______  (Subtotal)
  44.  
  45. Discounts: (Circle one if appropriate.)
  46. ----------
  47. Order 2 Programs at the same time...................... - $ 5.00
  48.  
  49. Order 3 Programs at the same time...................... - $ 8.00
  50.  
  51. Order 4 Programs at the same time...................... - $10.00
  52.  
  53.                                                          $_______  (Total)
  54.  
  55.                            F E E D B A C K
  56.                            ---------------
  57.  
  58.  I learned of this program from:
  59.  
  60.            [  ] - A Friend         [  ] - Computer Club
  61.            [  ] - BBS Name & #     [  ] - Compuserve
  62.            [  ] - GEnie            [  ] - Other
  63.  
  64.  COMMENTS: _____________________________________________________
  65.  _______________________________________________________________
  66.  _______________________________________________________________
  67.  _______________________________________________________________
  68.  _______________________________________________________________
  69.      
  70.