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Text File  |  1994-07-13  |  2KB  |  52 lines
  1. MATCH DICE v1.1 REGISTRATION FORM
  2. ---------------------------------                 DATE:___________________
  3.  
  4. NAME:_____________________________________________________________________
  5. (Name above MUST match what will be in the .CFG for your reg. code to work.)
  6.  
  7. MAILING ADDRESS:__________________________________________________________
  8.  
  9. TOWN/CITY:________________________________________________________________ 
  10.  
  11. PROVINCE/STATE:________________________ POSTAL/ZIP:_______________________
  12.  
  13. COUNTRY (If Other than U.S.A.):___________________________________________
  14.  
  15. PHONE (Voice):__________________________ (BBS):___________________________
  16.                                         |(BBS name MUST be written as it |
  17.                                         | will appear in your .CFG file. |
  18.                                         | e.g.  Timelord BBS             |
  19.                                                                           
  20. BBS SOFTWARE:__________________________ BAUD RATES:_______________________
  21.  
  22. BBS HOURS (If Other Than 24 Hours/Day):___________________________________
  23.  
  24. Please Circle Your System Type:  AT  XT  286  386  486  Pentium
  25.  
  26. Where did you obtain your copy of Match Dice?
  27.  
  28.  Local BBS   CompuServe   Other (Please Explain):_________________________
  29.  
  30. --------------------------------------------------------------------------
  31.  
  32. Number Of Copies You Wish To Register:______ x $10.00 = $___________
  33.                                                       (Total Amount Enclosed)
  34.  
  35. Circle Size Floppy Diskette Required:   5-1/4"    3-1/2"
  36.  
  37. Make Check or Money Order Payable To: BRAD WILLIAMS
  38.  
  39. Mail To:  BRAD WILLIAMS
  40.           P.O. BOX 409
  41.           DAGSBORO, DE 19939-0409
  42.  
  43. Comments/Suggestions for Improvement of Match Dice:_________________________
  44.  
  45. ____________________________________________________________________________
  46.  
  47. ____________________________________________________________________________
  48.  
  49. ____________________________________________________________________________
  50.  
  51. ____________________________________________________________________________
  52.