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REGISTER.CAN
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1994-01-02
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4KB
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120 lines
------------------------------------------------------------------------------
IceChat v3.10 Canadian Registration Form
------------------------------------------------------------------------------
The information required for the registration key and where the key will
be sent to. (Note : All Canadian Registrations to be in CDN Funds) :
BBS Information:
----------------
Sysop Name : [__________________________________________________]
BBS Name : [__________________________________________________]
BBS Software: [__________________________________________________]
BBS Version : [__________________________________________________]
Computer : [__________________________________________________]
BBS Phone : (_____)_____-________
Modem Type & Speed : [___________________________________________]
Node number : [_____] : [_____] / [_____] . [_____]
Address Details:
----------------
Name : [__________________________________________________]
(If different to sysop)
Address : [__________________________________________________]
City : [__________________________________________________]
Province : [____________________] Postal Code : [___-___]
Voice Phone : (_____)_____-________
Price Amount
Base Registration Fee : $15 Cdn = [ ]
Send Key via Postage (Disk) : $5 Cdn = [ ]
Send Key via Crash Netmail : $2 Cdn = [ ]
------
Total amount $Cdn =
======
** NOTE : There is no addition fee if you wish to poll for your key.
If you want your key by mail
----------------------------
Disk format : [ ] 3.5"
[ ] 5.25"
If you want your key by "polling" - Fidonet Node number Required
----------------------------------------------------------------
Node number : [_____] : [_____] / [_____] . [_____]
Session pwd : [________]
Please Check One : [_] I will poll for my key from Ice Technologies BBS
[_] I would like my key to be crashed to me
If you want your key as user of Ice Technologies BBS
----------------------------------------------------
Account : [___________________________________]
Password : [_______________]
How would you like to pay for IceChat
-------------------------------------
[ ] Cheque (Payable to - Jeremy Loveman)
[ ] Money Order (Payable to - Jeremy Loveman)
Where did you obtain your copy of IceChat v3.10? _____________________
______________________________________________________________________
Comments/Bug Reports : _______________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Upon receipt of the registration key, I hereby promise that I will
be the only one using this key. I will not give it out to anybody,
no matter how much they beg and cry, it is for my use only.
I understand that if I give this key out, or it is removed from my
possession, I an in violation of this agreement. I also understand
that upon violation of this agreement, legal action may be taken
against myself.
______________________________ ___/___/_____
(Your signature, in ink) (date)
Send your registration to : IceChat Registration
Jeremy Loveman
100 Burling Place
Newmarket, Ontario
Canada L3Y 5W4