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Text File  |  1995-01-28  |  2KB  |  53 lines
  1.  
  2.                         Registration Form For CBV v1.2
  3.                         ______________________________
  4.  
  5.  
  6.   Name   __________________________________________________________________
  7.           Last,                          First                          MI
  8.  
  9.   Address__________________________________________________________________
  10.           Street
  11.  
  12.          __________________________________________________________________
  13.  
  14.  
  15.          __________________________________________________________________
  16.           City,               State                    Zip
  17.  
  18.   Phone  _________________________
  19.           Area Code
  20.   
  21.   BBS Name ________________________________________________________________
  22.  
  23.   BBS Sysop Handle ________________________________________________________
  24.  
  25.   BBS Number ______________________________________________________________
  26.               Area Code
  27.  
  28.   BBS Baud Rates __________________________________________________________
  29.  
  30.  
  31.                              Registration Amount
  32.                              ___________________
  33.  
  34.   Please check each product that you wish to register, fill in the number of
  35.   copies that you wish to register, and the total amount enclosed.
  36.  
  37.  
  38. [  ] CBV latest release                    ea $10.00 US x ____ copies ________
  39.  
  40.                                                 Total Amount Enclosed ________
  41.  
  42. [  ] 3 1/2" Diskette  [  ] 5 1/4" Diskette
  43.  
  44.  
  45.  Make all checks or money orders payable to John Dailey, and send them to the
  46.  below address.  Registrations will be processed as soon as possible, and
  47.  will be sent via US mail.
  48.  
  49.                           CBV Registration
  50.                           1732 Wind Drift Rd.
  51.                           Orlando, FL  32809
  52.  
  53.