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/ Monster Media 1996 #14 / Monster Media No. 14 (April 1996) (Monster Media, Inc.).ISO / bbs_door / atriv110.zip / REGISTER.FRM < prev    next >
Text File  |  1995-12-21  |  1KB  |  45 lines
  1.                       Archonware Registration Form
  2.                       ----------------------------
  3.              Please support quality shareware by registering it.
  4.                      We thank you for your support.
  5.  
  6.  
  7. I would like to register Archon Trivia!
  8.  
  9. [ ] Yes       [ ] No       PLEASE CHECK APPROPRIATELY
  10.  
  11. REQUIRED INFORMATION
  12. --------------------
  13.  
  14. Name in which product(s) are registered (ie your name, handle, or company)
  15.  
  16. _____________________________________________
  17.  
  18. BBS Name ______________________________________   Software _________________
  19.  
  20. Operating Hours _____________  Years Online  _________________
  21.  
  22. Address  ___________________________________________________________________
  23.  
  24.          ___________________________________________________________________
  25.  
  26.          ___________________________________________________________________
  27.  
  28.  
  29. Enclosed is $10 Dollars US to register the door I have asked for above.
  30.  
  31.  
  32.                             Printed Name:____________________________
  33.  
  34.  
  35.                             Signature:____________________________
  36.  
  37.  
  38. Please Send Check, or money order (made out in US FUNDS!) for $10 to:
  39.  
  40.                         Trevor Herndon
  41.                         PO Box 3379
  42.                         Warrenton, VA 22186
  43.  
  44. Any questions? Call one of the BBSs listed in the TRIVIA.DOC file!
  45.