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REGISTER.FRM
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1996-09-29
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---------------------------=> Registration Form <=----------------------------
Registration Form for:
BJ4TOP Version 2.00
Copyright 1996 Paul Sidorsky, ISMWare
All Rights Reserved
Full Name: _______________________________________
Address: _________________________________________
City: ____________________________________________
Province/State: __________________________________
Country: ____________ Postal Code: ______________
Date Sent (MM/DD/YY): ____/____/____
Bulletin Board/System Name: ______________________
Bulletin Board Phone Number: _____________________
BBS Mail addresses: ______________________________
Delivery method: [ ] Call my BBS [ ] FidoNet [ ] Postal mail
[ Cost ]
The cost of registering BJ4TOP is $15.00.
Method of Payment:
[ ] Cheque drawn on a Canadian bank
(Must be for the amount shown above in CDN funds)
[ ] Cheque drawn on a US bank
(Must be for the amount shown above in US funds)
[ ] Money Order
Send this to: BJ4TOP Registration
c/o Paul Sidorsky
1414 45th Street SW
Calgary, AB
CANADA T3C 2C2