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Text File  |  1991-11-13  |  1KB  |  44 lines
  1.  
  2.                   PCB-REWARD REGISTRATION FORM
  3.                   
  4.  
  5.  Name:___________________________________________________
  6.  
  7.  BBS Name:_______________________________________________ 
  8.  
  9.  Address:________________________________________________
  10.  
  11.  City:___________________________________________________
  12.  
  13.  State:____________
  14.  
  15.  Zip:______________
  16.  
  17.  Phone:________________
  18.  
  19.  
  20. BBS Name or Name you wish to make registration in:
  21.  
  22.      ------------------------------------------------------
  23.     (Note: Spell exactly as you wish it to appear. 
  24.            PLEASE PRINT)
  25.  
  26. Please enclose the registration fee of $10.00 and mail it to the
  27. address below.  I will then send you the registration number via
  28. mail.  Future upgrades will be made available on Software HEaven
  29. BBS.  This registration number will be good for all future
  30. releases.
  31.  
  32. MAKE CHECKS PAYABLE TO :  Tom Gregory
  33. -------------------------------------
  34.  
  35.  
  36.  Mailing address:  Tom Gregory
  37.                    PCB-REWARD REGISTRATION
  38.                    5278 Tracy Ct.
  39.                    Stone Mountain, GA. 30083
  40.                    
  41.                    (404)-413-6579
  42.                    
  43.                    
  44.