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/ Monster Media 1996 #15 / Monster Media Number 15 (Monster Media)(July 1996).ISO / tbbs / statx200.zip / REGISTRA.FRM < prev    next >
Text File  |  1996-06-06  |  2KB  |  50 lines
  1.  
  2.                  Registration form for STATICS v 2.00
  3.                  ====================================
  4.  
  5.  When you register Statics, you will be send a KEY that will make STATICS
  6.  not pause at the end. It will also give you the right to a free upgrade
  7.  of STATICS.
  8.  
  9.  Please send $20 (20 US dollars) together with this registration form to:
  10.             
  11.               RUDI BREENS
  12.               VAN HALLESTRAAT 48
  13.               B-2100 DEURNE
  14.               BELGIUM
  15.  
  16.  Fill in correct please, we need YOUR address to send you the KEY !
  17.  
  18.  
  19.  YOUR NAME:  ______________________________________________________________
  20.  
  21.  NAME OF BBS:_____________________________ Needed for [regname] in STATICS !
  22.  
  23.  COMPANY: _________________________________________________________________
  24.  
  25.  ADDRESS: _________________________________________________________________
  26.  
  27.  CITY:   __________________________________________________________________
  28.  
  29.  STATE:  _________________  ZIP CODE:  ___________________
  30.  
  31.  VOICE PHONE: (___)-_____-___________   BBS PHONE: (___)-_____-____________
  32.  
  33.  YOUR FIDO NODE NUMBER: __:____/____
  34.  
  35.  WHERE DID YOU GET STATICS ? ______________________________________________
  36.  
  37.  COMMENTS:  _______________________________________________________________
  38.              
  39.             _______________________________________________________________
  40.  
  41.             _______________________________________________________________
  42.  
  43.             _______________________________________________________________
  44.  
  45.             _______________________________________________________________
  46.  
  47.  
  48.       PLEASE SEND ONLY MONEY IN CURRENCY NOTES. NO COINS OR CHEQUES!
  49.                      FOLD MONEY BETWEEN DARK PAPER!
  50.