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/ Monster Media 1996 #15 / Monster Media Number 15 (Monster Media)(July 1996).ISO / bbs_game / pike221.zip / REGISTER.DOC < prev    next >
Text File  |  1996-05-04  |  4KB  |  103 lines
  1. --------------------------------------------------------------------------
  2.                         Pike Place 2.2 Order Form
  3. --------------------------------------------------------------------------
  4.  
  5.          YOUR NAME : _______________________________   (AS SHOULD APPEAR IN
  6.                                                         REGISTRATION)
  7.      YOUR BBS NAME : _______________________________   
  8.  
  9.            ADDRESS : ______________________________________________________
  10.  
  11.                      _____________________________________________________
  12.  
  13. VOICE PHONE NUMBER : ______________________
  14.  
  15.   E-MAIL ADDRESSES : ____________________________________   (IF APPLICABLE)
  16.  
  17.   BBS PHONE NUMBER : ______________________                 
  18.  
  19.  
  20. I WISH TO RECEIVE MY ORDER BY:
  21.           ___                                ___
  22.          |   | - CONVENTIONAL MAIL          |   | - CALL TO DESEN MACHINE BBS
  23.          |___|                              |___|
  24.           ___                                ___
  25.          |   | - INTERNET E-MAIL            |   | - AOL MAIL                       
  26.          |___|                              |___|   
  27.  
  28.                         ___
  29. I WOULD LIKE TO ORDER: |   | - JUST MY REGISTRATION KEY
  30.                        |___|   $15
  31.                         ___
  32.                        |   | - BOTH REGISTRATION KEY AND LATEST VERSION
  33.                        |___|   OF PIKE PLACE   $20  (if you call my BBS
  34.                                                      you can download the
  35.                                                      latest version free)
  36.  
  37. You can call The Desen Machine and log in as "Pike Place", password "door"
  38. for immediate access without having to go thru the new user login proceedure.
  39.  
  40.  
  41. MAKE CHEQUES PAYABLE TO:   Dan Nordquist
  42.                            9565 Hoff Drive
  43.                            Garden City, Id  83714
  44.  
  45. I can be contacted at:
  46.         The Desen Machine BBS  208-327-3505
  47.              Internet address  DnaStrand1@aol.com
  48.  
  49. +-- OFFICIAL USE ONLY ----------------------------------------------------+
  50. |                                                                         |
  51. | Rcvd : _______  Date : _________  S.N. : _________  Key : _____________ |
  52. +-------------------------------------------------------------------------+
  53.  
  54. --------------------------------------------------------------------------
  55.                   PIKE PLACE DOOR USER FEEDBACK FORM
  56. --------------------------------------------------------------------------
  57.  
  58.          YOUR NAME : _______________________________
  59.  
  60.            ADDRESS : ______________________________________________________
  61.  
  62.                      ______________________________________________________
  63.  
  64. VOICE PHONE NUMBER : ______________________
  65.  
  66.  NETWORK ADDRESSES : ____________________________________   (IF APPLICABLE)
  67.  
  68.  
  69. HOW DID YOU FIRST LEARN OF PIKE PLACE?
  70.  
  71.              ____________________________________________________________
  72.  
  73.  
  74. WHAT DO YOU LIKE MOST ABOUT PIKE PLACE?
  75.  
  76.              ____________________________________________________________
  77.  
  78.              ____________________________________________________________
  79.  
  80.              ____________________________________________________________
  81.  
  82.  
  83. WHAT CHANGES OR ADDITIONS WOULD YOU LIKE TO SEE IN FUTURE VERSIONS?
  84.  
  85.              ____________________________________________________________
  86.  
  87.              ____________________________________________________________
  88.  
  89.              ____________________________________________________________
  90.  
  91.  
  92. DO YOU HAVE ANY ADDITIONAL COMMENTS?
  93.  
  94.              ____________________________________________________________
  95.  
  96.              ____________________________________________________________
  97.  
  98.              ____________________________________________________________
  99.  
  100.  
  101. -----------------------------------------------------------------------------
  102.  
  103.