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Text File  |  1994-02-03  |  1KB  |  47 lines
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  5.           Remit to:      Galacticomm Australia
  6.                          12 Merrigum Court
  7.                          Doncaster, Australia, 3108.
  8.  
  9.           Enclosed is $10 for registration of CyberChat Version 1.0
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  13.           Name:    ________________________________________________________
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  16.           Address: ________________________________________________________
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  19.           City:    ____________________   ST:_____  Zip Code: _____________
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  22.           Format of disk:   5 1/4  [  ]
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  24.                             3 1/2  [  ]
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  28.           Optional Information:
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  31.           BBS Name:     ___________________________________________________
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  34.           BBS Software: ___________________________________________________
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  37.           BBS Number:   ___________________________________________________
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  40.           Voice Number: ___________________________________________________
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  43.           Hours of Operation: _____________________________________________
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  46.           Number of Nodes: ________________________________________________
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