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Monster Media 1996 #15
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REGISTER.FRM
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1996-04-26
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76 lines
Cyber Soft Order Form
John Daugherty
511 24th Street West
Billings, MT 59102
Internet Web page www.wtp.net/~jed
Internet E-mail jed@wtp.net
Date:__________
Board Name:_____________________________________________________________
BBS Phone #:____________________________________________________________
Sysop Name:_____________________________________________________________
(Enter Sysop Name as it Appears in your TriBBS setup)
Address:________________________________________________________________
City, State, & Zip:_____________________________________________________
I am ordering: (Check all that Apply)
__ Cyber News $10.00 __ Deluser $5.00 __ Tri-List $5.00
__ 1st Bank $5.00 __ Tri-Date $5.00 __ Tri-Vote $5.00
__ Multi-Comment $5.00 __ Tri-Message $5.00 __ Tri-Help $5.00
__ Last 15 Callers $5.00 __ Remote $5.00
Total Ordered: $__________
I also use the following Cyber Soft Freeware Utilities:
(Please check all that apply)
__ User Editor __ Change Menu __ NDSEC
__ Upload __ Page __ Tri-User
__ Cyber Lang __ Birthday __ Last Caller
__ Dropped Carrier
If you would rather get your key on my BBS instead of U.S. Mail
you can call my BBS 406-256-8476 to get your Key.
You can also receive your key via internet E-Mail. Address to
send to: _________________________
Please leave the logon information you wish to use below if you
want to receive your key this way. If you do not wish to have your
birthdate or phone number included in your user account I will fill it
in dummy information. I will set up an account for you and attach your
key to a private message the day I receive your registration.
Logon Name:_________________________ Password:______________________
Default Protocol:___________________ Date of Birth:_________________
Default Editor: Full or Line Phone Number:__________________
(Circle Choice) (Voice or BBS)
Comments:_____________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________