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Text File  |  1995-12-31  |  7KB  |  84 lines
  1.  ==============================================================================
  2.  |                            SOFTWARE ORDER FORM                             |
  3.  ==============================================================================
  4.  |                                                                            |
  5.  | Today's Date: __________________________________ BBS Phone: (___) ___-____ |
  6.  |                                                                            |
  7.  | Your Name:________________________________________________________________ |
  8.  |                                                                            |
  9.  | BBS Name :________________________________________________________________ |
  10.  |                            (Maximum of 40 characters)                      |
  11.  |                                                                            |
  12.  | Be sure to PRINT or TYPE the above information EXACTLY as you will enter   |
  13.  | it in the .CFG file.  The case IS VERY important when I create the serial  |
  14.  | numbers.                                                                   |
  15.  |                                                                            |
  16.  | Street:_______________________________________ Voice Phone: (___) ___-____ |
  17.  |                                                                            |
  18.  | City:__________________________ Province/State:___________________________ |
  19.  |                                                                            |
  20.  | Postal/Zip Code:_______________                                            |
  21.  |                                                                            |
  22.  | If you should encounter problems setting up the door(s) fill in the info   |
  23.  | below in order to better assist us in troubleshooting.                     |
  24.  |                                                                            |
  25.  | BBS Software:__________ Ver #:_____ Modem:_________________ Baud:_________ |
  26.  |============================================================================|
  27.  |   Name of Program                     Ver     Cost      [√]       Amount   |
  28.  |============================================================================|
  29.  |  Scuba Diving Training & Trivia       v3.03  $19.00     [ ]      $_______  |
  30.  |  USCG Captains License Quiz           v1.03  $19.00     [ ]      $_______  |
  31.  |  Cheers! Trivia                       v1.03  $19.00     [ ]      $_______  |
  32.  |  James Bond! Trivia                   v1.03  $19.00     [ ]      $_______  |
  33.  |  Elvis Presley! Trivia                v1.03  $19.00     [ ]      $_______  |
  34.  |  70's! Trivia                         v1.03  $19.00     [ ]      $_______  |
  35.  |  Fire Rescue! Trivia                  v1.03  $19.00     [ ]      $_______  |
  36.  |  Christmas! Trivia                    v1.03  $19.00     [ ]      $_______  |
  37.  |  Canadian! Trivia                     v1.03  $19.00     [ ]      $_______  |
  38.  |  Quantum Leap! Trivia                 v1.03  $19.00     [ ]      $_______  |
  39.  |  The Beatles! Trivia                  v1.03  $19.00     [ ]      $_______  |
  40.  |  3 Stooges! Trivia                    v1.01  $19.00     [ ]      $_______  |
  41.  |                                                                            |
  42.  |  DISCOUNT: If you order more than ONE door program, subtract $3.00 for     |
  43.  |  each door program ordered.                                                |
  44.  |                                                                            |                                                                             |
  45.  |                                                       Sub Total: $________ |
  46.  | ========================================================================== |
  47.  |  *** Shipping Information ***                                              |
  48.  |                                                                            |
  49.  |  Send Registration via:                                                    |
  50.  |   [ ] US Mail             [ ] You Download         [ ] Fido Crash Mail     |
  51.  |                                                                            |
  52.  |  If shipped via US Mail there is a additional Handling Charge:             |
  53.  |  * Regular US Mail (May take 5 to 7 days)                    :   $ 3.50    |
  54.  |                                                                            |
  55.  |  Registration Package will be shipped on 3½" HD Disk(s).                   |
  56.  |                                                                            |
  57.  |  If shipped via Fido Mail there is an additional Phone Charge:   $ 1.50    |
  58.  |  FidoNET Address (MUST be in ZONE 1 ONLY): ____:______/______              |
  59.  |                                                                            |
  60.  |                                              Added for Shipping: $________ |
  61.  |                                                                            |
  62.  |  Payment by: [ ] Check  [ ] Money Order (Must be in US Currency Only!)     |
  63.  |              [ ] Credit Card (include form CHARGE.IT with your order)      |
  64.  |                                                                            |
  65.  |  ALL Payments MUST be made in US Currency Only!  Total Enclosed: $________ |
  66.  |============================================================================|
  67.  |   Authors BBS: Blue Water BBS (305) 258-3483 USR HST/DS 16.8k 8,N,1        |
  68.  |                                                                            |
  69.  | If you choose to download your registration from the above BBS, it will be |
  70.  | available as a .ZIP file using the first 8 characters in your last name.   |
  71.  | It will attached in a Private Message to you for you to download it.       |
  72.  |                                                                            |
  73.  |           I will pre-register you with first / last name above.            |
  74.  |                                                                            |
  75.  |    Password you wish to use:______________ Date of Birth: ___/___/___      |
  76.  |============================================================================|
  77.  | Make Funds Payable To: Dan Bernasconi         Thank you for your support.  |
  78.  |                                                                            |
  79.  | Mail To: Dan Bernasconi                                                    |
  80.  |          P.O. Box 924198                                                   |
  81.  |          Homestead, FL 33092-4198             Orders Are Shipped Promptly  |
  82.  |============================================================================|
  83.   12/31/95 rev
  84.