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REGISTER.FRM
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1996-05-11
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4KB
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66 lines
(05/05/96) M & S SOFTWARE ORDER FORM
Registration Name On Key:__________________________ Date:____________
Name if different:__________________________ Voice Phone:(____) _____-_______
Street Address:________________________________________
City:__________________________ State:___________ Zip Code:_______________
BBS Name :_________________________________ #1 BBS Phone:(____) _____-______
#2 BBS Phone:(____) _____-______
BBS Software:__________________ Modem Type/Speed:_________________________
Where Did You Get This Game? ______________________________
Send Reg Key(s): USMAIL____ NetMail____ You call & Download____ Internet____
(See Note Below) Disk Size: 360K___ 720K___ 1.2m___
If you choose to download, files will be placed on Com-Dat BBS for you.
I will pre-register you with first / last name above.
Password you wish to use:___________________
I can Net Mail to Fido or most Front Door compatible mailers and also send
over the Internet via uuencode or file attach.
FIDO Net/NODE # or E-mail Address :____________________________
**Note: In most cases I will try to call your BBS to upload the key.
Please Pre-Log me in under the name of Mike Jordan.
I will complete the other data when I log on.
Password you have assigned me for Pre-Log-in:______________
Payment: Money Order____ Check____ COD____ Visa____ MC____ Discover____
Note: All COD fees will be added to COD orders.
Make Checks & Money Orders Payable to Mike Jordan
******************* Required for Charge Card Orders **************************
Card Number:________________________________ Expiration:_____________
Signature:__________________________________
===========================================================================
NAME OF GAME VERSION PRICE AMOUNT
============================================================================
1. Peg-Jump 1.6 $10.00 $________
2. Booby Trap 4.2 IBBS $20.00 $________
3. Knight's Move 1.6 $15.00 $________
4. Hot-Dice 2.2 IBBS $15.00 $________
5. Chuck-A-Luck 1.3 $15.00 $________
6. Tri-Bingo 3.2 IBBS $20.00 $________
7. Poker Bandit 2.0 $15.00 $________
8. Video Bandit 2.2 IBBS $15.00 $________
9. Jewel Thief 2.5 IBBS $20.00 $________
** All Nine Games at same time: $100.00 $________
Total $________
Deduct 12% for 2 - 8 games registered. TOTAL - 12% $________
=============================================================================
Mail Your Check, Money Order, COD Order Information And This Form To:
Mike Jordan
2001 NE Hyde St.
Hillsboro, OR. 97124
Voice Orders and Support: (503) 693-7068
=============================================================================
Thank You - Orders Are Processed Promptly
=============================================================================