home *** CD-ROM | disk | FTP | other *** search
/ Monster Media 1994 #1 / monster.zip / monster / BUSINESS / SHOCASFX.ZIP / COMPRSD.EXE / ORDER.FRM < prev    next >
Text File  |  1994-01-05  |  2KB  |  40 lines

  1.                            THE NEXT STEP BBStm
  2.                           ~~~~~~~~~~~~~~~~~~~~~
  3.     "The smart way to introduce yourself to others and obtain programs!"
  4.  
  5.                        *   ORDERING INFORMATION  *
  6.  
  7.  .         Check Or Money Order ..........................$25.00      .
  8.            =====================================================
  9. By Phone: (801) 966-8108.
  10. By Mail:  4914 West 6600 South, West Jordan, Utah 84084
  11. ___________________________________________________________________________
  12.  
  13. MAKE CHECKS OUT TO:     MARIO GIORDANI
  14.                         4914 West 6600 South Suite A-100
  15.                         West Jordan, Utah 84084
  16. __________________________________________________________________________
  17.   P
  18.   E     NAME:
  19.   R
  20.   S    (ADDRESS)
  21.   O
  22.   N    (CITY)                          (STATE)                 (ZIP)
  23.   A
  24.   L    (VOICE PHONE)                           (BBS PHONE)
  25. _________________________________________________________________________
  26.                                                                         
  27. __Check/M.O.                            AMOUNT ENCLOSED:$________________
  28.  
  29.                              - LEGAL NOTICE -
  30.   By submitting any registration fee you AGREE that THE NEXT STEP BBS!tm
  31.   and its author/operator is not responsible for any specific results
  32.   you may be anticipating from use of this bbs promotional program.
  33.  
  34.   I hereby agree to the terms of this agreement.
  35.  
  36.   Signature: ________________________________________________________
  37.  
  38.  
  39. Date:     _________________    AGE:_____  DATE OF BIRTH___/____/_______
  40.