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Text File  |  1996-09-22  |  3KB  |  70 lines
  1.                               Registration Form
  2.               Please support shareware by making your payment.
  3.           Remit To: Robert Neal, 317 Hickory, Romeoville, IL  60446
  4. --------------------------------------------------------------------------
  5. ____PROGRAM NAME_________________________________   _PRICE_  __AMOUNT__
  6. [ ]  BBS Bowling Solitaire Door v1.3                   $15    ________
  7. [ ]  Card Sharks BBS Door v7.1                         $15    ________
  8. [ ]  CD ROM Duplicate File Analyzer v1.3               $10    ________
  9. [ ]  CD ROM File Date Analyzer v1.0                    $10    ________
  10. [ ]  DaLabeler v4.8                                    $15    ________
  11. [ ]  DizIt PRO v1.8                                    $20    ________
  12. [ ]  Kings Are Wild Solitaire Door v1.4                $15    ________
  13. [ ]  Links Country Club Golf BBS Door v4.0             $15    ________
  14. [ ]  War of the Words Door v1.7                        $15    ________
  15. [ ]  Z-Wordz BBS Door v3.5                             $15    ________
  16. [ ]  Special - all 6 doors programs                    $50    ________   
  17. [ ]  Current version of all programs on 3.5" disk      $ 5    ________
  18. LESS: Volume Discount/# items ordered (min 2) ____    @$ 3    ________
  19.         (that's a 20%+ discount)
  20.                                                               ___________
  21.                                              TOTAL          $
  22.                                                               ========
  23. Please indicate method of receiving your registration key:
  24.         [ ] - via private message on support BBS (815) 886-9381
  25.         [ ] - via US Mail
  26.         [ ] - via Internet E-Mail
  27.                 Internet E-Mail Address:  _______________________________
  28. ----------------------------------------------------------------------------
  29. ** Payment by Check (US Bank or branch), Money Order or Credit Card Only **
  30.  
  31. Complete if paying by credit card (Visa/Mastercard only):
  32.  
  33. [ ]-Visa        CARD #: _______________________________  EXP DATE: ___/___
  34. [ ]-MasterCard
  35.                 SIGNATURE:  ____________________________________
  36.  
  37. Use your Visa/MasterCard to register online - simply call the support
  38. BBS at (815) 886-3233 or (815) 886-9381, type CHARGE at main menu prompt.
  39. -----------------------------------------------------------------------------
  40.  
  41. Name: __________________________  Address: _________________________________
  42.    
  43.                                   City/State/Zip: __________________________
  44.          
  45. BBS Name used for registration (30 char max): ______________________________
  46.  
  47. Phone Number: (    ) _____-________  BBS software used: ____________________
  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  60446    U.S.A.
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