home *** CD-ROM | disk | FTP | other *** search
/ DP Tool Club 31 / CDASC_31_1996_juillet_aout.iso / vrac / yank108.zip / REGISTER.FRM < prev    next >
Text File  |  1996-05-09  |  5KB  |  114 lines

  1.                                    
  2.  ░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓
  3.  ░▒▓ Instant registration NOW available! (210)341-7230 to Register.      ░▒▓
  4.  ░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓░▒▓
  5.  
  6.     IMPORTANT NOTE: Access to our BBS is very short and simple!
  7.     
  8.             FIDO Net: 1:387/341
  9.             InterNet: paul.lewis@f341.n387.z1.fidonet.org
  10.              
  11.  ----------------->> SIMPLE "NO-WAIT" REGISTRATION <<------------------------
  12.  Call voice and get your code immediately. The voice line is: (210)341-7230
  13.     ALL major credit cards and personal checking are accepted in the 
  14.               On-Line Registration door located on our BBS.
  15.     
  16.                      The PigPen BBS 210-341-7297  
  17.                       
  18. -----------------------------< CUT HERE >------------------------------------
  19.  
  20.                       YANKEES & RED NECKS
  21.                        =-=-=-=-=-=-=-=-=
  22.                                VERSION 1.08 
  23.                         Registration Form
  24.                         -----------------
  25.                    PLEASE <<TYPE>> or PRINT!  CASE SENSITIVE!      
  26.  * Note: The BBS name and Sysop Name are case sensitive!
  27.                                                          
  28. * Your FIRST Name<NO Aliases>________________________________
  29.                                                          
  30. * Your LAST Name_____________________________________________
  31.  
  32. * The NAME of your BBS?____________________________________________________
  33.  
  34.  Your Street Address___________________________________________
  35.  
  36.  Your City, State and ZIP code____________________________________________
  37.  
  38.  Your voice phone # (_____)__________________________
  39.  
  40.  Your BBS phone # (_____)____________________________
  41.  
  42.  Type of BBS software that you are running?_______________________________
  43.  
  44.  Version of your BBS software?______________       # of Nodes?______________
  45.  
  46.  Your modem speed?______________ # of years your BBS in service?____________
  47.  
  48.  Your FIDO Net Address?____________________________
  49.  
  50.  Your INTERNet Address?________________________________________________________
  51.  
  52.  How did you get this program? PLEASE be specific! Phone #'s if possible.
  53.  ________________________________________________________________________
  54.  ________________________________________________________________________
  55.  ________________________________________________________________________
  56.          <--------> US FUNDS ONLY! <-------->
  57.  *** OPTION #1 ***    [ ] Registration fee of $21.50 enclosed ____________
  58.                      and I'll download my registration
  59.                      code from "The PigPen BBS" at (210)
  60.                      341-7297.
  61.                [ ] Registration fee of $21.50 enclosed ____________
  62.                      Send me my registration code at the
  63.                      above address.
  64.                [ ] Please charge my Credit Card $21.50 ____________
  65.                      and I'll DOWNLOAD my registration
  66.                           code from "The PigPen BBS" at
  67.                           (210)341-7297. SEE INFO BELOW.           
  68.                [ ] Please charge my Credit Card $21.50 ____________
  69.                      and send my registration code to
  70.                           the above name and address.
  71.                      SEE INFO BELOW.
  72.                       [ ] Please charge my Credit Card $22.00 ____________
  73.                      and FAX my registration code to
  74.                           the following FAX number:_(____)________________
  75.                [ ] Please charge my Credit Card $22.00 ____________
  76.                      and CRASH my registration code to
  77.                           the following FIDO Net Address:_________________
  78.                                                   
  79. OPTION #1  Make Checks payable to: Paul Lewis   
  80.               Send to: Paul Lewis           
  81.                    12222 Blanco #3005
  82.                    San Antonio, TX 78216-2118                               
  83.    
  84. ------------------------------------------------------------------------------
  85. OPTION #2
  86.     Use American Express, VISA, Master Card and call our BBS and 
  87.     give us the info on-line and get your registration code the same
  88.     day.
  89.         
  90.                       The PigPen BBS (210) 341-7297
  91.  
  92. ------------------------------------------------------------------------------
  93. OPTION #3
  94.          COMPLETE THE FOLLOWING only IF YOU ARE REGISTERING WITH AMERICAN 
  95.          EXPRESS, VISA, MASTER CARD or OPTIMA.
  96.            
  97.     Todays Date__________________
  98.  
  99.     EXACT Name(s) on Card___________________________________________
  100.                       
  101.                          #2___________________________________________
  102.  Please check one:        
  103.    [ ]American Express   [ ]Visa   [ ]Mastercard  [ ]Optima   [ ]Discover
  104.         
  105.         Card Number     ________________________________________________
  106.  
  107.  
  108.     Expiration Date___________________________   
  109.  
  110.  
  111.      Your Signature__________________________________________________      
  112.                                                                              
  113. --------------------------End of REGISTER.FRM-----------------------------
  114.