home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Monster Media 1994 - The BEST of 1994
/
monster1.zip
/
monster1
/
BBS_GAM2
/
XMAS_10.ZIP
/
REGISTER.FRM
< prev
next >
Wrap
Text File
|
1994-06-01
|
6KB
|
81 lines
==============================================================================
| SOFTWARE ORDER FORM |
==============================================================================
| |
| Today's Date: _______________________________ BBS Phone: (___) ____-______ |
| |
| Your Name:________________________________________________________________ |
| |
| BBS Name :________________________________________________________________ |
| (Maximum of 40 characters) |
| |
| Be sure to PRINT or TYPE the above information EXACTLY as you will enter |
| it in the .CFG file. The case IS VERY important when I create the serial |
| numbers. |
| |
| Street:_____________________________________ Voice Phone:(___) ____-_____ |
| |
| City:__________________________ State:___________ Zip Code:_______________ |
| |
| BBS Software:_______________ Ver #:_____ Modem:____________ Baud:_________ |
| |
|============================================================================|
| How did You received this Program: [ ] From a BBS [ ] * Off a CD ROM Disk |
| * If off a CD ROM Disk, which one?________________________________________ |
|============================================================================|
| Name of Program Ver Cost [√] Amount |
|============================================================================|
| Scuba Diving Training & Trivia Door v3.0 $19.00 [ ] $_______ |
| USCG Captains License Quiz Door v1.0 $19.00 [ ] $_______ |
| Cheers! Trivia Door v1.0 $19.00 [ ] $_______ |
| James Bond! Trivia Door v1.0 $19.00 [ ] $_______ |
| Elvis Presley! Trivia Door v1.0 $19.00 [ ] $_______ |
| 70's! Trivia Door v1.0 $19.00 [ ] $_______ |
| Fire-Rescue! Trivia v1.0 $19.00 [ ] $_______ |
| Christmas! Trivia v1.0 $19.00 [ ] $_______ |
| Canadian! Trivia v1.0 $19.00 [ ] $_______ |
| |
| DISCOUNT: If you order more than ONE door program, subtract $3.00 for |
| each door program ordered. |
| | |
| Sub Total: $________ |
| ========================================================================== |
| *** Shipping Information *** |
| |
| Send Registration via: [ ] US Mail / [ ] You Download / [ ] Fido Mail |
| |
| If shipped via Diskette there is a additional Handling Charge: $ 3.00 |
| Disk Size: [ ] 5.25" [ ] 3.5" |
| |
| If the Author is to Upload to You, the additional charge is: $ 2.00 |
| (Set up an account under the logon name of - TRIVIA AUTHOR |
| with the password - YourRegKey). |
| |
| If shipped via Fido Mail there is an additional Phone Charge: $ 1.00 |
| FidoNET Address (MUST be in ZONE 1 ONLY): ____:______/______ |
| |
| Added for Shipping: $________ |
| |
| Payment by: [ ] Check [ ] Money Order |
| [ ] Credit Card (include form CHARGE.IT with your order) |
| |
| Total Enclosed: $________ |
|============================================================================|
| Authors BBS: Blue Water BBS (305) 442-6000 USR HST/DS 16.8k 8,N,1 |
| |
| If you choose to download your registration from the above BBS, it will be |
| available as a .ZIP file using the first 8 characters in your last name. |
| It will attached in a Private Message to you for you to download it. |
| |
| I will pre-register you with first / last name above. |
| |
| Password you wish to use:______________ Date of Birth: ___/___/___ |
|============================================================================|
| Make Funds Payable To: Dan Bernasconi Thank you for your support. |
| |
| Mail To: Dan Bernasconi |
| P.O. Box 430955 |
| South Miami, FL 33243-0955 Orders Are Shipped Promptly |
|============================================================================|
06/01/94 rev