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Text File  |  1994-01-03  |  3KB  |  48 lines
  1.  _______________________________________________________________________
  2. | Check the boxes of the items you would like to register/order |       |
  3. | Fill in any additional information as requested!              | Total |
  4. |_______________________________________________________________|_______|
  5. | (  )  Tri-Hang v2.31ß  - Cost: $15.00 US dollars              |       |
  6. |_______________________________________________________________|_______|
  7. | (  )  BBSLister v3.10  - Cost: $15.00 US dollars              |       |
  8. |_______________________________________________________________|_______|
  9. | (  )  LTBank v1.0      - Cost: $15.00 US dollars              |       |
  10. |                                                               |       |
  11. |=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=|-------|
  12. | (  )  Combo - Cost: $25.00 US dollars (Tri-Hang & BBSLister)  |       |
  13. |_______________________________________________________________|_______|
  14. | PLEASE MAKE SURE 'YOUR NAME' AND 'BBS NAME' (BELOW) MATCH THE |       |
  15. | NAME OF THE SYSOP AND BBS IN YOUR CONFIGURATION FILES!!!!!!!! |       |
  16. |                                          +~~~~~~~~~~~~~~~~~~~~|       |
  17. | Your Name_____________________________   |Sub-Total...........|$______|
  18. |                                          |                    |       |
  19. | Address_______________________________   |Add $1.00 for orders|       |
  20. |                                          |   outside U.S. ....|$______|
  21. | City, State, ZIP _____________________   |                    |       |
  22. |                                          |AMOUNT ENCLOSED.....|$______|
  23. | BBS Name______________________________   |                            |
  24. |                                          |----------------------------|
  25. | Voice phone___________________________   |***** Office Use Only ******|
  26. |                                          |----------------------------|
  27. | BBS phone_____________________________   | Date recieved    -   -     |
  28. |                                          |   Date Mailed    -   -     |
  29. | Comments:                                | Tri-Hang  Reg # ________   |
  30. |                                          | BBSLister Reg # ________   |
  31. |                                          |----------------------------|
  32. |                                          |----------------------------|
  33. |                                          | Thank you for your order!! |
  34. |__________________________________________|____________________________|
  35. | If you would like me to log on to your BBS and leave you a message    |
  36. | containing your registration numbers instead of mailing them, please  |
  37. | create an account for me under the name BRUCE FARLEY and assign me a  |
  38. | password and write it here                                            |
  39. |                                                                       |
  40. | PASSWORD:______________________                                       |
  41. |                                                                       |
  42. | If I am unable to log on due to busy signals, etc, etc, then I will   |
  43. | mail your registrations instead.                                      |
  44. |_______________________________________________________________________|
  45.  
  46.  Mail to:   Bruce W. Farley, 60 1/2 Halstead St., Clinton NJ, 08809 (USA)
  47.  
  48.