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Text File  |  1993-05-14  |  1.6 KB  |  56 lines
  1.  
  2.                                 MultiChat 2.00Γ
  3.  
  4.                            General Registration Form
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  9.         Sysop Name: ____________________________________________________
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  12.         BBS Name: ______________________________________________________
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  15.         Mailing Address: _______________________________________________
  16.  
  17.         ________________________________________________________________
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  19.         ________________________________________________________________
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  21.         ________________________________________________________________
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  25.         Registration Type:  [ ]  Non-Commercial                   25 USD
  26.                                  (Private residence, no profits)
  27.  
  28.                             [ ]  Semi-Commercial                  50 USD
  29.                                  (Private residence, Profits)
  30.  
  31.                             [ ]  Commercial                       75 USD
  32.                                  (Commercial environment)
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  36.         Type of payment:    [ ] Bank Transfer*              [ ] Cheque**
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  40.         [ ] Please send me back my key on FidoNet to: __________________
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  44.         Date: _______________           Signature: _____________________
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  46.         ════════════════════════════════════════════════════════════════
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  48.         * Bank Transfer to: Bank Hapoalim B.M. Central Branch, Tel-Aviv,
  49.           ISRAEL, ACC. No 339795.
  50.  
  51.         ** Make the cheque payable to Yossi Gottlieb.
  52.  
  53.         Send to: Yossi Gottlieb, YossiWare Developments, 11 Armonim St.,
  54.                  Ramat Gan 52587, ISRAEL.
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