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REGISTER.FRM
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1993-05-21
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48 lines
Noetic Software Registration Form
Name : _____________________________________________
Company : _____________________________________________
BBS Name : _____________________________________________
Address : _____________________________________________
City : _____________________________________________
State : ____
ZIP : ______________
Phone (Voice) : (____) ____-______
Phone (BBS) : (____) ____-______
BBS Type : ________________________ Version : __________
Software: Subtotal
[_] Guest List v3.0 Qty __ x $19.00 _____
For Wildcat! 3.x BBS's
[_] The Switch Box v1.0 Qty __ x $10.00 _____
The Ultimate Screen Changer (For BBS Sysops)
[_] 15% Discount for Registering 2+ Programs - _____
Total: _____
Comments : _________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Send Check or Money Order (U.S. Funds Only) payable to:
Jamey Hopkins
610 N Alma School Rd Ste 18
Chandler, AZ 85224-3687
Support BBS:
The Immortal! BBS
(602) 814-8026
RelayNet -> IMMORTAL
DharmaNet 96:301/1