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/ The Original Shareware 1.1 / The Original Shareware (WeMake CDs)(Volume 1.1)(CDs, Inc)(1993).iso / 32 / pcyatz17.zip / REGISTER.FRM < prev   
Text File  |  1991-04-06  |  2KB  |  64 lines
  1.                      PC-YAHTZEE REGISTRATION APPLICATION
  2.                      ___________________________________
  3.  
  4.                            SUNRISE DOOR SOFTWARE
  5.  
  6.                               SUNRISE-80 BBS
  7.  
  8.                               (404) 256-9525
  9.  
  10.                             1200 - 19200 (HST)
  11.                                                              
  12.  
  13.  
  14.     *  FIRST and LAST NAME _____________________________________________
  15.  
  16.        ADDRESS             _____________________________________________
  17.  
  18.        CITY, STATE, ZIP    _________________________   ____    _________
  19.  
  20.        VOICE TELEPHONE #   _________________________
  21.  
  22.     *  Supplemental FIRST and LAST Name ________________________________
  23.     *  Supplemental FIRST and LAST Name ________________________________
  24.     *  Supplemental FIRST and LAST Name ________________________________
  25.  
  26.  
  27.        Password for pre-registration on SUNRISE-80 _____________________
  28.  
  29.        Please mail this form, along with your DONATION ($15) and ($3 for
  30.        each Supplemental name, if any.. See Docs for explanantion) to:
  31.  
  32.  
  33.                                Al Lawrence
  34.                                604 Bainbridge Drive
  35.                                Atlanta, Ga 30327
  36.  
  37.                                U.S. FUNDS ONLY !!!!
  38.  
  39.        Please allow sufficient time for your letter to be received before
  40.        calling for your registration number. In lieu of calling my BBS for
  41.        your registration number, you can include a self-addressed stamped
  42.        envelop to receive the registration number by return mail.
  43.  
  44.        * WARNING: THIS ITEM MUST MATCH EXACTLY WITH THE WAY YOU HAVE
  45.                   ENTERED IT IN THE .CFG FILE !!!!!
  46.  
  47.  
  48.  
  49.  
  50. ----------------------------- SUNRISE  USE  ONLY -----------------------------
  51.  
  52.  
  53.       Date Received __________________       Amt Received ____________
  54.  
  55.                      Registration # _____________________
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