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REGISTER.FRM
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1996-05-09
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5KB
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114 lines
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░▒▓ Instant registration NOW available! (210)341-7230 to Register. ░▒▓
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IMPORTANT NOTE: Access to our BBS is very short and simple!
FIDO Net: 1:387/341
InterNet: paul.lewis@f341.n387.z1.fidonet.org
----------------->> SIMPLE "NO-WAIT" REGISTRATION <<------------------------
Call voice and get your code immediately. The voice line is: (210)341-7230
ALL major credit cards and personal checking are accepted in the
On-Line Registration door located on our BBS.
The PigPen BBS 210-341-7297
-----------------------------< CUT HERE >------------------------------------
YANKEES & RED NECKS
=-=-=-=-=-=-=-=-=
VERSION 1.08
Registration Form
-----------------
PLEASE <<TYPE>> or PRINT! CASE SENSITIVE!
* Note: The BBS name and Sysop Name are case sensitive!
* Your FIRST Name<NO Aliases>________________________________
* Your LAST Name_____________________________________________
* The NAME of your BBS?____________________________________________________
Your Street Address___________________________________________
Your City, State and ZIP code____________________________________________
Your voice phone # (_____)__________________________
Your BBS phone # (_____)____________________________
Type of BBS software that you are running?_______________________________
Version of your BBS software?______________ # of Nodes?______________
Your modem speed?______________ # of years your BBS in service?____________
Your FIDO Net Address?____________________________
Your INTERNet Address?________________________________________________________
How did you get this program? PLEASE be specific! Phone #'s if possible.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
<--------> US FUNDS ONLY! <-------->
*** OPTION #1 *** [ ] Registration fee of $21.50 enclosed ____________
and I'll download my registration
code from "The PigPen BBS" at (210)
341-7297.
[ ] Registration fee of $21.50 enclosed ____________
Send me my registration code at the
above address.
[ ] Please charge my Credit Card $21.50 ____________
and I'll DOWNLOAD my registration
code from "The PigPen BBS" at
(210)341-7297. SEE INFO BELOW.
[ ] Please charge my Credit Card $21.50 ____________
and send my registration code to
the above name and address.
SEE INFO BELOW.
[ ] Please charge my Credit Card $22.00 ____________
and FAX my registration code to
the following FAX number:_(____)________________
[ ] Please charge my Credit Card $22.00 ____________
and CRASH my registration code to
the following FIDO Net Address:_________________
OPTION #1 Make Checks payable to: Paul Lewis
Send to: Paul Lewis
12222 Blanco #3005
San Antonio, TX 78216-2118
------------------------------------------------------------------------------
OPTION #2
Use American Express, VISA, Master Card and call our BBS and
give us the info on-line and get your registration code the same
day.
The PigPen BBS (210) 341-7297
------------------------------------------------------------------------------
OPTION #3
COMPLETE THE FOLLOWING only IF YOU ARE REGISTERING WITH AMERICAN
EXPRESS, VISA, MASTER CARD or OPTIMA.
Todays Date__________________
EXACT Name(s) on Card___________________________________________
#2___________________________________________
Please check one:
[ ]American Express [ ]Visa [ ]Mastercard [ ]Optima [ ]Discover
Card Number ________________________________________________
Expiration Date___________________________
Your Signature__________________________________________________
--------------------------End of REGISTER.FRM-----------------------------