    Please  fill out this registration form and send it with payment to one
of  the  addresses below.  If you don't have a printer be sure to include a
note with at least the basic information here.

    Payment  should  be in the form of a check or money order for $15.00 in
U.S.  funds drawn from a U.S.  or or Canadian bank.  (Cash is accepted, but
send it at your own risk.)

    Please send payment and registration form to:

        Jim Dawson                      INTERNET Jim_Dawson@hguild.com
        509 S. Madison St.              FIDONET  1:2290/42.0
        Marion, IL. 62959
        USA
        ATTN: AmiQWK Registrations

    New  Zealand  and  Australian  residents  may instead send $30.00 in New
Zealand  funds  drawn  from a New Zealand or Australian bank along with this
registration form to the address below.

        Peter Lowish                    INTERNET pcl@sailor.actrix.gen.nz
        10 Brunner St.                  FIDONET  3:771/850.0
        Nelson
        New Zealand
        ATTN: AmiQWK Registrations

    Please  contact Jim Dawson directly for group registrations and/or site
licenses.

    Be  sure  to  enter  your  name  as  you  want  it  to  appear  on your
registration  key.   Your  registration key will work only if your name and
registration key are entered in properly.


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Name:   __________________________________________________________________

Address:__________________________________________________________________

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USENET/INTERNET/FIDONET Address: _________________________________________

Phone:  __________________________________________________________________

Amiga Model (A1000, A500, A1200, etc) ____________________________________

CPU 680___0     Does your system  have a MMU? _____  FPU? _____

OS Version (2.04, 2.1, 3.0, etc) _________________________________________

Version of AmiQWK you are registering? ___________________________________

Where did you get AmiQWK? (BBS, FTP, Fred Fish?) _________________________

Suggestions for future versions of AmiQWK (Use as much space as needed)

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