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Text File  |  1991-08-15  |  862b  |  25 lines
  1.                        Disarm the Bomb Registration form
  2.  
  3. Name of BBS: _______________________________________________________________
  4.  
  5. Name of Sysop: _____________________________________________________________
  6.  
  7. Address: ____________________________________
  8.  
  9.          ____________________________________
  10.  
  11. Town Name: _______________________  Zip + 4: __________-______
  12.  
  13. Phone number of BBS: (_____) _____-______
  14.  
  15. Media Size (Check 1): 5 1/4" ______   3 1/2" ______
  16.  
  17.       Make a check for $10.00 payable to Evan Anderson and mail this entire 
  18.                                     form to:
  19.  
  20.                           Disarm the Bomb Registration
  21.                                 C/O Evan Anderson
  22.                                   P.O. Box 164
  23.                                  New Madison, OH
  24.                                    45346-0164
  25.