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Text File  |  1993-01-15  |  2KB  |  71 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.         4158 Carol Ln.
  8.         Apt # 12-3        
  9.         Port Orchard, WA. 98366-2745
  10.  
  11.        (Please use capitalization and punctuation where necessary.)
  12.  
  13.  FROM:  SysOp Name: _______________________________________________
  14.  
  15.         BBS Name: _________________________________________________
  16.  
  17.         Address: __________________________________________________
  18.  
  19.         City: ______________________ State: __________ ZIP: _______
  20.  
  21.         Voice: (   ) _________________ BBS: (   ) _________________
  22.  
  23.         BBS Software: _____________________ BBS Hours: ____________
  24.  
  25.         Baud Rates:________________________
  26.  
  27. SOFTWARE                          VERSION                  PRICE
  28. --------                          -------                  -----
  29.  
  30. Adventurer's Maze.................. 1.3 ................. $15.00
  31. (Current versions as of 01-18-93)
  32.  
  33. Murder Mansion......................1.5 ................. $15.00
  34.  
  35.                                                            _____
  36.  
  37. (WA residents add 7.8% tax)                                _____
  38.  
  39. Total                                                    $______
  40.  
  41.                            F E E D B A C K
  42.                            ---------------
  43.  
  44.  I learned of ADVENTURER'S MAZE/MURDER MANSION from:
  45.            [  ] - A Friend         [  ] - Computer Club
  46.            [  ] - BBS              [  ] - Compuserve
  47.            [  ] - GEnie            [  ] - Other
  48.  
  49.  COMMENTS: _____________________________________________________
  50.  _______________________________________________________________
  51.  _______________________________________________________________
  52.  _______________________________________________________________
  53.  _______________________________________________________________
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