home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Media Share 9
/
MEDIASHARE_09.ISO
/
bbs
/
aqad0293.zip
/
REGISTER.TXT
< prev
Wrap
Text File
|
1993-01-04
|
4KB
|
54 lines
╔══════════════════════════════════════════════════════════════════════════════╗
║ Send this Registration Form with your Check or Money order to: ║
║ AQUILA BBS ║
║ 4430 E. New York Street Suite #201, Aurora IL. 60504 ║
║ Voice: (708) 820-8344 Fax: (708) 820-8813 ║
║ ║
║ Login First Name: Login Last Name: ║
║ ───────────────────── ──────────────────── ║
║ Telephone Number: Desired Password: ║
║ ───────────────────── (REQUIRED) ─────────────────── ║
║ (Up to 8 Caracters Max)║
║ Company Name (optional): ║
║ ─────────────────────────────────────────────────── ║
║ Street Address : ║
║ ─────────────────────────────────────────────────── ║
║ City, State & Zip : ║
║ ─────────────────────────────────────────────────── ║
║ ║
║ To make payment by credit card choose one of the following: ║
║ ┌─╖ ┌─╖ ║
║ ╘═╝ Visa/Master Card ╘═╝ American Express ║
║ ║
║ Card Number : Expiration / / ║
║ ───────────────────────────────────── ────────────── ║
║ Card Holder : ║
║ (print) ────────────────────────────────────────────────────────────── ║
║ Signature : ║
║ (sign) ────────────────────────────────────────────────────────────── ║
║ Note: credit card payments may be faxed to Aquila ║
╠══════════════════════════════════════════════════════════════════════════════╣
║ Place an "X" in the box next to the desired option. ║
║ ┌─╖ ║
║ ╘═╝ 91 Meg. / 3 months - ■ 91 Meg. total file download / 8 Meg. per call ║
║ Membership $30.00 ■ 8,213 Min. total online time / 512 Min. per call ║
║ ┌─╖ ║
║ ╘═╝ 365 Meg./12 Months - ■ 365 Meg. total file download / 8 Meg. per call ║
║ Membership $55.00 ■ 32,850 Min. total online time / 512 Min. per call║
║ ┌─╖ ║
║ ╘═╝ 730 Meg./12 Months - ■ 730 Meg. total file download / 12 Meg. per call ║
║ Membership $65.00 ■ 43,800 Min. total online time / 768 Min. per call║
║ ┌─╖ ║
║ ╘═╝ 1094 Meg/12 Months - ■ 1094 Meg. total file download / 16 Meg. per call ║
║ Membership $75.00 ■ 54,750 Min. total online time / 1024 Min per call║
║ ║
║ ■ Personal InterNet Mailbox Included in all annual memberships. ║
║ ■ Access to Over 600 E-Mail Conferences Included in all Options above. ║
╠══════════════════════════════════════════════════════════════════════════════╣
║ ADDITIONAL OPTIONS for ALL MEMBERS ║
║ ║
║ ┌─╖ ║
║ ╘═╝ 12 Issues of Boardwatch Magazine (Guide to Online Services). $30.00 ║
║ ┌─╖ ║
║ ╘═╝ RoboComm - Automated Communications Program. (Commercial Version) $35.00 ║
╚══════════════════════════════════════════════════════════════════════════════╝