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Text File  |  1993-08-28  |  1KB  |  38 lines
  1.  Tombstone Artist 1.5 Registration Form
  2.  --------------------------------------
  3.  
  4.  Name:      _______________________________________________________
  5.  
  6.  Handle:    _______________________________________________________
  7.  
  8.  Address:   _______________________________________________________
  9.  
  10.  City:      _______________________________________________________
  11.  
  12.  State:     _______________________________  Zip Code: ____________
  13.  
  14.  Country:   _______________________________
  15.  
  16.  Telephone: _______________________________
  17.  
  18.  (If SysOp)
  19.  Name of BBS: _______________________________________
  20.  
  21.  BBS Telephone: _____________________________________
  22.  
  23.  
  24.  QTY.  Item                                                  Price
  25.  ----  ----------------------------------------------------  -----
  26.  [  ]  I would like to register my copy of Tombstone Artist  $30
  27.  
  28.  
  29.  Total: $______________________________
  30.                   (US Funds)
  31.  
  32.  
  33.         Please send check or money order and any comments to:
  34.  
  35.                           Steven Lang
  36.                           1542 Pleasant Lane
  37.                           Lafayette, Ca 94549-2215
  38.