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Text File  |  1996-04-07  |  2KB  |  61 lines
  1.  
  2.  
  3.             The Official "DBQ2FTP" Registration and Information Form
  4.             ────────────────────────────────────────────────────────
  5.                  (not to be confused with worthless imitations)
  6.  
  7.  
  8.  
  9.     Your Full Name: ___________________________________________________
  10.  
  11.     Address: __________________________________________________________
  12.  
  13.     City: _______________________________State: __________Zip: ________
  14.  
  15.     Voice Phone: Area Code(    )  Number: _____________________________
  16.  
  17.     Data Phone:  Area Code(    )  Number: _____________________________
  18.  
  19.     BBS Name: _________________________________________________________
  20.  
  21.     BBS Software: _____________________________________________________
  22.  
  23.     Network Address: __________________________________________________
  24.  
  25.     Network Domain 
  26.     (FidoNet, FamilyNet, etc): ________________________________________
  27.  
  28.     Where did you hear about DBQ2FTP? _________________________________
  29.  
  30.     
  31.     Any Comments?
  32.  
  33.     ____________________________________________________________________
  34.     
  35.     ____________________________________________________________________
  36.  
  37.     ____________________________________________________________________
  38.  
  39.  
  40.                                   Send to:
  41.  
  42.                           Around the Klock Software  
  43.                               Att: Khile Klock           
  44.                                626 SW 3rd Ave.
  45.                           Albany, Oregon 97321-2206
  46.  
  47.                  Make all checks payable to: Khile T. Klock
  48.  
  49.  
  50.     
  51. Description:                             Price ea:   Quantity:   Sub Total
  52.  
  53. Standard Site Registration ............... $ 5.00     ________   $_________
  54.  
  55. Printed Documentation & Disk.............. $ 5.00     ________   $_________
  56.  
  57. Commercial Site Registration ............. $20.00     ________   $_________
  58. (Includes Disk, Manual, Certificate of Registration.)
  59.  
  60. Total Price ...................................................  $_________
  61.