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Text File  |  1996-02-13  |  1KB  |  42 lines
  1.                       Direct Access Registration
  2.                       --------------------------
  3.  
  4. Registration is (US) $15.00 Registration entitles you to free major and
  5. minor upgrades.  For a limited time, registered Sysops can receive the 
  6. DIRECT.WCC Source Code File via download at 305-598-1357.
  7.  
  8. NOTE: Please pay by Check or Money Order.  Payable to:  DAYCORP INC.
  9.  
  10. Please send registration forms to:      DAYCORP INC.
  11.                                         P.O. Box 83-2902    
  12.                                         Miami, Fl. 33283-2902
  13.  
  14. Amount Enclosed: [ $15 ] for Registration.
  15.  
  16. Optional - To receive diskette via mail: [ $2 ] for shipping and handling.
  17.  
  18.  
  19. Name:               [_____________________________________________]
  20.  
  21. Address:            [_____________________________________________]
  22.  
  23. City/State/Zip:     [_____________________________________________]
  24.  
  25. BBS Name:           [_____________________________________________]
  26.  
  27. BBS Phone Numbers:  [_____________________________________________]
  28.  
  29. Who referred you?   [_____________________________________________]
  30.  
  31.  
  32. Number of BBS Lines:     [___]
  33.  
  34. Board's Specialty:       [________________________________________]
  35.  
  36. Highest Modem Speed:     [______]
  37.  
  38. Home Phone:              [________________]
  39.  
  40.  
  41. Please leave any additional comments below:
  42.