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/ Monster Media 1994 #2 / Monster Media No. 2 (Monster Media)(1994).ISO / tribbs / calnum11.zip / REGFORM.TXT < prev   
Text File  |  1994-06-15  |  4KB  |  60 lines
  1.  _______________________________________________________________________
  2. | Check the boxes of the items you would like to register/order |       |
  3. | Fill in any additional information as requested!              | Total |
  4. |_______________________________________________________________|_______|
  5. | (  )  SendNote v3.1   - Cost: $15.00 US dollars               |       |
  6. |_______________________________________________________________|_______|
  7. | (  )  TriBank v4.1    - Cost: $15.00 US dollars               |       |
  8. |_______________________________________________________________|_______|
  9. | (  )  TriMast v2.4    - Cost: $10.00 US dollars               |       |
  10. |_______________________________________________________________|_______|
  11. | (  )  TriDay v1.0     - Cost: $10.00 US dollars               |       |
  12. |_______________________________________________________________|_______|
  13. | (  )  CallNum v1.1    - Cost: $5.00 US dollars                |       |
  14. |_______________________________________________________________|_______|
  15. |=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=|       |
  16. | (  )  Combo #1 - Cost: $40.00 US dollars                      |       |
  17. |       A $55.00 value!  Registers: TriBank, SendNote,          |       |
  18. |       TriMast, TriDay, and Callnum!                           |       |
  19. |_______________________________________________________________|_______|
  20. | (  )  Combo #2 - Cost: $35.00 US dollars                      |       |
  21. |       A $40.00 value!  Registers: TriBank, SendNote and       |       |
  22. |       TriMast.                                                |       |
  23. |_______________________________________________________________|_______|
  24. | PLEASE MAKE SURE 'YOUR NAME' AND 'BBS NAME' (BELOW) MATCH THE |       |
  25. | NAME OF THE SYSOP AND BBS IN YOUR CONFIGURATION FILES!!!!!!!! |       |
  26. |                                          +~~~~~~~~~~~~~~~~~~~~|       |
  27. | Your Name_____________________________   |Sub-Total...........|$______|
  28. |                                          |                    |       |
  29. | Address_______________________________   |                    |       |
  30. |                                          |                    |       |
  31. | City, State, ZIP _____________________   |                    |       |
  32. |                                          |AMOUNT ENCLOSED.....|$______|
  33. | BBS Name______________________________   |                            |
  34. |                                          |----------------------------|
  35. | Voice phone___________________________   |***** Office Use Only ******|
  36. |                                          |----------------------------|
  37. | BBS phone_____________________________   | Date recieved    -   -     |
  38. |                                          |   Date Mailed    -   -     |
  39. | Comments:                                | SendNote Reg # ________    |
  40. |                                          | TriBank Reg  # ________    |
  41. |                                          | TriMast Reg  # ________    |
  42. |                                          | TriDay  Reg  # ________    |
  43. |                                          | CallNum Reg  # ________    |
  44. |                                          |----------------------------|
  45. |                                          | Thank you for your order!! |
  46. |__________________________________________|____________________________|
  47. | If you would like me to log on to your BBS and leave you a message    |
  48. | containing your registration numbers instead of mailing them, please  |
  49. | create an account for me under the name RANDY HUNT and assign me a    |
  50. | password and write it here (In continental US & Canada only!!)        |
  51. |                                                                       |
  52. | PASSWORD:______________________                                       |
  53. |                                                                       |
  54. | If I am unable to log on due to busy signals, etc, etc, then I will   |
  55. | mail your registrations instead.                                      |
  56. |_______________________________________________________________________|
  57.  
  58.  Mail to:    Randal C. Hunt, P.O. Box 576, E. Holden, ME  04429-0576 (USA)
  59.  
  60.