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/ Monster Media 1996 #14 / Monster Media No. 14 (April 1996) (Monster Media, Inc.).ISO / bbs_util / dim_nup.zip / REGISTER.TXT < prev   
Text File  |  1996-01-28  |  2KB  |  56 lines
  1.                             New User Password v1.0
  2.  
  3.  
  4. Name: __________________________________________________________________
  5.  
  6. Address Line 1: ________________________________________________________
  7.  
  8. Address Line 2: ________________________________________________________
  9.  
  10. City: _________________________________
  11.  
  12. State (2 Letter): _____________________
  13.  
  14. Zip Code: _____________________________
  15.  
  16. Voice phone number: ___________________
  17.  
  18.  
  19. BBS Name: _____________________________
  20.  
  21. BBS Number: ___________________________
  22.  
  23.  
  24.  
  25. Name to be Registered to (Put anything you would like):__________________
  26.  
  27. BBS Name to be Registered to (Put anything you would like):______________
  28.  
  29. REMEMBER YOU CAN'T CHANGE IT.  I WILL PUT IT AS I SEE IT ABOVE!!!!!!
  30.  
  31.  
  32. Thank You For Registering New User Password.
  33.  
  34. New User Password is sent out as donationware.
  35.  
  36. You will get a disk in the mail.  That is the reason for the 6 Bucks.
  37. Got to pay for shipping!!!
  38.  
  39. Send this form with donation of $6.00 US dollars to:
  40.  
  41.                                 Robert Velasco
  42.                                 6201 Secret Hollow ln.
  43.                                 Centreville Va, 22020
  44.  
  45. Make all checks payable to Robert Velasco.
  46.  
  47.  
  48. FEEDBACK (MUST): ______________________________________________________
  49. _______________________________________________________________________
  50. _______________________________________________________________________
  51. _______________________________________________________________________
  52. _______________________________________________________________________
  53. _______________________________________________________________________
  54. _______________________________________________________________________
  55. _______________________________________________________________________
  56.