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Text File  |  1993-08-24  |  3KB  |  75 lines
  1.                               Registration Form
  2.                Please support shareware by making your payment.
  3.                         Remit To:     Robert Neal        
  4.                                       317 Hickory
  5.                                       Romeoville, IL  60441
  6. --------------------------------------------------------------------------
  7.     PROGRAM NAME                                        PRICE    AMOUNT
  8.  
  9. [ ] Card Sharks BBS Door v5.7                          $14.95   ________
  10. [ ] CD ROM Duplicate File Analyzer v1.3/Personal Use   $ 9.95   ________
  11. [ ] CD ROM File Date Analyzer v1.0/Personal Use        $ 9.95   ________
  12. [ ] DaLabeler v4.7                                     $14.95   ________
  13. [ ] DizIt v2.0                                         $ 9.95   ________
  14. [ ] Links Country Club Golf BBS Door v4.0              $14.95   ________
  15. [ ] PCBoard User Ratio Monitor v1.7                    $14.95   ________
  16. [ ] Z-Wordz BBS Door v1.4                              $14.95   ________
  17.  
  18. [ ] Current version of programs selected on disk       $ 5.00   ________
  19.         Disk size: [ ] 5.25"   [ ] 3.5"
  20.  
  21. LESS: Volume Discount/# programs ordered (min 2) ____ @ $3.00   ________
  22.         A 20%+ discount for each program ordered             ___________
  23.  
  24.                                                 TOTAL          $
  25.                                                                 ========
  26. Please indicate method of receiving your registration key:
  27.         [ ] - Provide registration key via private message on
  28.                 support BBS (815) 886-3233 or (815) 886-9381
  29.         [ ] - Provide registration key via US Mail
  30. ----------------------------------------------------------------------------
  31. ** Payment by Check (US Bank or branch), Money Order or Credit Card Only**
  32.  
  33. Complete if paying by credit card (Visa/Mastercard only):
  34.  
  35. [ ]-Visa        CARD #: _______________________________  EXP DATE: ___/___
  36. [ ]-MasterCard
  37.                 SIGNATURE:  ____________________________________
  38.  
  39. Use your Visa/MasterCard to register online - simply call the support
  40. BBS at (815) 886-3233 or (815) 886-9381. Type CHARGE at main menu prompt.
  41. -----------------------------------------------------------------------------
  42.  
  43.    Name: _________________________________
  44.    
  45. Address: _________________________________
  46.  
  47.          _________________________________
  48.          
  49. BBS Name to enter in registration (30 char max)          Phone number
  50.  
  51.  _______________________________________            (    ) _____ - ________  
  52.  
  53. Baud Supported: _______              BBS software used: ___________________    
  54. ---------------------------------------------------------------------------
  55. Fold at the page break below with the printing facing out.  Then fold
  56. letter style, exposing the mailing address and hiding your information.
  57. If necessary, staple check to the mailer, then staple or tape sides and top.
  58.  
  59. _________________________________                                     Place
  60.  
  61. _________________________________                                     Stamp
  62.  
  63. _________________________________                                     Here
  64.  
  65.  
  66.  
  67.  
  68.  
  69.                                          Robert Neal         
  70.                                          317 Hickory         
  71.                                          Romeoville, IL  60441    U.S.A.
  72.  
  73.  
  74.  
  75.