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Text File  |  1993-01-06  |  3KB  |  70 lines
  1.                         PCBoard USER RATIO MONITOR v1.4
  2.                               Registration Form
  3.                 Please support shareware by registering it.
  4.                 
  5.                         Remit To:     Robert Neal        
  6.                                       317 Hickory
  7.                                       Romeoville, IL  60441   
  8.     Support BBS (815) 886-3233 (v.32bis) and (815) 886-9381 (v.32bis)
  9. --------------------------------------------------------------------------
  10.                            ** REGISTRATION **
  11.  
  12. Registration Options (select one):
  13.  
  14. [ ] - Registration key information via support BBS       $15.00      _____
  15.        Please be sure you have an account prior
  16.        so that I may leave you a private message
  17.        addressed to you with registration information.
  18.        You may also register ONLINE with VISA/MC/AMEX
  19.        and Discover by calling the support BBS and
  20.        typing CHARGE at the main menu prompt.
  21.  
  22. [ ] - Registration key letter via the U.S. Mail          $15.00      _____
  23.  
  24.  
  25. [ ] - Registration key letter plus current version       $20.00      _____
  26.        on disk. Disk choice: [ ]-5.25"  [ ]-3.25"
  27.  
  28.  
  29.                                                    Total ->         ______
  30.  
  31.  
  32.     ** Payment by Check (U.S. Bank or branch) or Money Order only **
  33.                         Thank you for your support.             
  34. --------------------------------------------------------------------------
  35.  
  36.    Name: _________________________________
  37.    
  38. Address: _________________________________
  39.  
  40.          _________________________________
  41.          
  42. BBS Name to enter in registration (30 char max)          Phone number
  43.  
  44.  _______________________________________            (    ) _____ - ________  
  45.  
  46.                                                     Baud Supported: _______
  47.  
  48. ---------------------------------------------------------------------------
  49.  
  50. Fold at the page break below with the printing facing out.  Then fold
  51. letter style, exposing the mailing address and hiding your information.
  52. If necessary, staple check to the mailer, then staple or tape sides and top.
  53.  
  54. _________________________________                                     Place
  55.  
  56. _________________________________                                     Stamp
  57.  
  58. _________________________________                                     Here
  59.  
  60.  
  61.  
  62.  
  63.  
  64.                                          Robert Neal         
  65.                                          317 Hickory         
  66.                                          Romeoville, IL  60441    U.S.A.
  67.  
  68.  
  69. PCBURMv1.4
  70.