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Text File  |  1995-01-30  |  3KB  |  85 lines
  1. TicToss Registration Form, v1.25
  2.  
  3. TicToss's Registration is $20 US funds.
  4.  
  5. Please complete your registration information and return to WER Development by
  6. one of the following choices:
  7.  
  8. - Fidonet Mail:  Eddie Rowe @ Fidonet#1:136/1.0
  9. - Internet Mail:  erowe@netcom.com
  10. - Fax:  1-318-387-1805
  11. - Postal Mail, use this mailer for quick and easy addressing
  12.  
  13. To receive your registration key you will need to logon the Support BBS and
  14. download your registration key from the [P]ersonal files directory.  Allow
  15. 10 business days for checks processing, and 48 hours for Visa/Mastercard
  16. processing.
  17. ------------------------------------------------------------------------------
  18.  
  19. Information given below is for the internal use of WER Development only and
  20. SHALL NOT be shared with other parties!
  21.  
  22. Name (Used for BBS Account):  ________________________________________________
  23.  
  24. Address: _____________________________________________________________________
  25.  
  26.          _____________________________________________________________________
  27.  
  28.          _____________________________________________________________________
  29.  
  30. Payment Method:   [ ] Check/Money Order payable to WER Development
  31.  
  32.                   [ ] Visa/Mastercard
  33.  
  34. ------------------------For Credit Card Use Only--------------------------------
  35. |                                                                              |
  36. | Card #  _____________________________________________  Expires _____________ |
  37. |                                                                              |
  38. | Name of Cardholder  ________________________________________________________ |
  39. |                                                                              |
  40. --------------------------------------------------------------------------------
  41.  
  42. Password for BBS Logon to retrieve registration key:  _________________________
  43.  
  44. BBS Software & Version:  ___________________________   # of Nodes: _________
  45.  
  46. Operating System: _________________________________
  47.  
  48. Operating Environment: _____________________________
  49.  
  50. Would you be interested in a version for:  [ ] OS/2
  51.                                            [ ] __________
  52.  
  53. Comments: ____________________________________________________________________
  54.  
  55.           ____________________________________________________________________
  56.  
  57.           ____________________________________________________________________
  58.  
  59.  
  60. -----------------------------  "Instant Mailer"  ------------------------------
  61. Fold at the page break below with the printing facing out.  Then fold into
  62. a letter style to hide your registration information, but not the mailer info.
  63. Be sure to staple the check to the mailer, then staple or tape sides/top.
  64.  
  65.  
  66.  
  67.  
  68.  
  69. _________________________________                                     Place
  70.  
  71. _________________________________                                     Stamp
  72.  
  73. _________________________________                                     Here
  74.  
  75.  
  76.  
  77.  
  78.  
  79.  
  80.                                          WER Development
  81.                                          500 Roselawn, Suite 4
  82.                                          Monroe, LA 71201  U.S.A.
  83.  
  84. TicToss v1.25
  85.