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Text File  |  1995-04-18  |  4KB  |  76 lines

  1.                           Registration Form
  2.               Please support shareware by making your payment.
  3.           Remit To: Robert Neal, 317 Hickory, Romeoville, IL  60441
  4. --------------------------------------------------------------------------
  5. ____PROGRAM NAME_________________________________   __PRICE__  __AMOUNT__
  6. [ ]  BBS Bowling Solitaire v1.3                        $14.95   ________
  7. [ ]  Card Sharks BBS Door v7.0                         $14.95   ________
  8. [ ]  CD ROM Duplicate File Analyzer v1.3               $ 9.95   ________
  9. [ ]  CD ROM File Date Analyzer v1.0                    $ 9.95   ________
  10. [ ]  DaLabeler v4.8                                    $14.95   ________
  11. [ ]  DizIt PRO v1.4                                    $19.95   ________
  12. [ ]  Kings Are Wild Solitaire v1.1                     $14.95   ________
  13. [ ]  Links Country Club Golf BBS Door v4.0             $14.95   ________
  14. [ ]  Z-Wordz BBS Door v3.0                             $14.95   ________
  15.  
  16. [ ]  Current version of all programs on 3.5" disk      $ 5.00   ________
  17. LESS: Volume Discount/# programs ordered (min 2) ____ @$ 3.00   ________
  18.         (that's a 20%+ discount)
  19.  
  20. **SPECIALS through 09/30/95 (no other discounts applied):
  21. [ ]  #1: All 5 online games (ZWordz, Links Golf, Bowling,
  22.         Card Sharks and Kings Are Wild)                $50.00   ________
  23. [ ]  #2: All programs listed above plus disk with
  24.         current versions - seperately $135             $70.00   ________
  25.                                                               ___________
  26.  
  27.                                                 TOTAL          $
  28.                                                                 ========
  29. Please indicate method of receiving your registration key:
  30.         [ ] - via private message on support BBS (815) 886-9381
  31.         [ ] - via US Mail
  32.         [ ] - via Internet E-Mail
  33.                 Internet E-Mail Address:  _______________________________
  34. ----------------------------------------------------------------------------
  35. ** Payment by Check (US Bank or branch), Money Order or Credit Card Only **
  36.  
  37. Complete if paying by credit card (Visa/Mastercard only):
  38.  
  39. [ ]-Visa        CARD #: _______________________________  EXP DATE: ___/___
  40. [ ]-MasterCard
  41.                 SIGNATURE:  ____________________________________
  42.  
  43. Use your Visa/MasterCard to register online - simply call the support
  44. BBS at (815) 886-3233 or (815) 886-9381, type CHARGE at main menu prompt.
  45. -----------------------------------------------------------------------------
  46.  
  47. Name: __________________________  Address: _________________________________
  48.    
  49.                                   City/State/Zip: __________________________
  50.          
  51. BBS Name used for registration (30 char max): ______________________________
  52.  
  53. Phone Number: (    ) _____-________  BBS software used: ____________________
  54.  
  55. ---------------------------------------------------------------------------
  56. Fold at the page break below with the printing facing out.  Then fold
  57. letter style, exposing the mailing address and hiding your information.
  58. If necessary, staple check to the mailer, then staple or tape sides and top.
  59.  
  60. _________________________________                                     Place
  61.  
  62. _________________________________                                     Stamp
  63.  
  64. _________________________________                                     Here
  65.  
  66.  
  67.  
  68.  
  69.  
  70.                                          Robert Neal         
  71.                                          317 Hickory         
  72.                                          Romeoville, IL  60441    U.S.A.
  73.  
  74.  
  75.  
  76.