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Text File  |  1994-01-29  |  3KB  |  76 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 v5.8                         $14.95   ________
  10. [ ]  CD ROM Duplicate File Analyzer v1.3               $ 9.95   ________
  11. [ ]  CD ROM File Date Analyzer v1.0                    $ 9.95   ________
  12. [ ]  DaLabeler v4.8                                    $14.95   ________
  13. [ ]  DizIt v3.1                                        $ 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 v2.1                             $14.95   ________
  17.  
  18. [ ]  Current version of programs selected on disk      $ 5.00   ________
  19.         Disk size: [ ] 5.25"-High Density   [ ] 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. ----------------------------------------------------------------------------
  32. ** Payment by Check (US Bank or branch), Money Order or Credit Card Only **
  33.  
  34. Complete if paying by credit card (Visa/Mastercard only):
  35.  
  36. [ ]-Visa        CARD #: _______________________________  EXP DATE: ___/___
  37. [ ]-MasterCard
  38.                 SIGNATURE:  ____________________________________
  39.  
  40. Use your Visa/MasterCard to register online - simply call the support
  41. BBS at (815) 886-3233 or (815) 886-9381. Type CHARGE at main menu prompt.
  42. -----------------------------------------------------------------------------
  43.  
  44.    Name: _________________________________
  45.    
  46. Address: _________________________________
  47.  
  48.          _________________________________
  49.          
  50. BBS Name to enter in registration (30 char max)          Phone number
  51.  
  52.  _______________________________________            (    ) _____ - ________  
  53.  
  54. Baud Supported: _______              BBS software used: ___________________    
  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.