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REGISTER.FRM
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1991-02-17
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Registeration Form for PCB-Deposit for PCBoard 14.5
Name:______________________________________ (Print Clearly Please)
BBS Name:__________________________________ (Print Clearly Please)
BBS Phone:_________________________________ (Print Clearly Please)
Home Phone:________________________________ (Print Clearly Please)
-----------------------------------------------------------------------------
Please Mark One:
Enclosed is $20.00 for the Registered Version of PCB-Deposit Door v1.0
You will need to call the BBS and download your DEPOSIT.KEY and REGISTERED
PCBDEP.EXE files.
This DOES NOT include shipping and handling. Please choose a
Password to Use On BBS:_______________________
Enclosed $20.00:________
Enclose is $22.00 for the registered Version of PCB-Deposit Door v1.0
This INCLUDES shipping and handling (1 disk).
Mailing Address:__________________________________
__________________________________
__________________________________
Enclosed $22.00:________
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Make Checks Payble to:
Cam N. DeBuck
235 East 1300 North
Springville, UT 84663
If you have any comments, please let me know:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Signature:__________________________________
* DO NOT SEND CASH -- Please use a Check or a Money Order *
* If you are Registering OutSide the U.S. or Canada, please be sure to send
* your Registeration Money in U.S. Currency Funds (Money Order in U.S. Funds)