home *** CD-ROM | disk | FTP | other *** search
/ Monster Media 1996 #15 / Monster Media Number 15 (Monster Media)(July 1996).ISO / bbs_util / dizmake.zip / REGISTER.DOC < prev   
Text File  |  1996-04-02  |  561b  |  25 lines
  1.                    Computer Creations registration Form 
  2.  
  3.  
  4. PROGRAM you are registering:___________________
  5.  
  6. Name  : ______________________________
  7.  
  8. Handle: ______________________________
  9.  
  10. Address: ___________________________________________________________
  11.  
  12. City: _______________________
  13.  
  14. State: ___     
  15.  
  16. Zip: _ _ _ _ _ - _ _ _ _    
  17.  
  18. BBS Name: ___________________________    BBS Software: _________________
  19.  
  20. BBS Phone Number: (___)____-_______      Max baud rate: ______
  21.  
  22. Home Phone Number: (___)____-______      
  23.  
  24. FEE ATTACHED:$_____
  25.