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REGISTER.FRM
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Text File
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1993-05-02
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5KB
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91 lines
M & S SOFTWARE ORDER FORM
Registration Name:__________________________
Name if different:__________________________ Voice Phone:(____) _____-_______
Address:________________________________________
City:__________________________ State:___________ Zip Code:_______________
BBS Name :_________________________________ #1 BBS Phone:(____) _____-______
#2 BBS Phone:(____) _____-______
BBS Software:__________________ Modem Type/Speed:_________________________
Where Did You Get This Game? ______________________________
Send Registered Key(s): US MAIL____ NetMail____ You call & Download____
(See Note Below) Disk Size: 360K___ 720K___ 1.2m___
If you choose to download, files will be placed on Com-Dat BBS for you.
I will pre-register you with first / last name above.
Password you wish to use:___________________
I can Net Mail to Fido or most Front Door compatible mailers.
FIDO Net/NODE #:____________________________
**Note: In most cases I will try to call your BBS to upload the key.
Please Pre-Log me in under the name of Mike Jordan.
Password you have assigned me for Pre-Log-in:______________
Payment Type: Money Order____ Check____ Charge____ COD____
Note: All COD fees will be added to COD orders.
Make Checks & Money Orders Payable to Mike Jordan
===========================================================================
NAME OF GAME VERSION SINGLE NODE MULTI-NODE AMOUNT
============================================================================
1. Peg-Jump 1.5 $10.00 $20.00 $________
2. Booby Trap 2.3 $20.00 $35.00 $________
3. Knight's Move 1.3 $15.00 $30.00 $________
4. Hot-Dice 1.3 $20.00 $30.00 $________
5. Chuck-A-Luck 1.0 $20.00 $30.00 $________
**All Five Games at same time: $75.00 $128.00 $________
TOTAL: $________
=============================================================================
Mail Your Check, Money Order, COD Order or Charge Card Information
And This Form To:
Mike Jordan
2001 NE Hyde St.
Hillsboro, OR. 97124
=============================================================================
** INFO ON CHARGE ORDERS - READ CAREFULLY!!! **
=============================================================================
Charge Card Orders: You can pay by MC or Visa for any single game, a
combination of games or a package set. To pay by charge card please fill
out the following information. If this application is sent by mail a
signature is required.
Charge Card Orders can also be uploaded to the Com-Dat BBS. Please be sure
and leave a private message addressed to Mike Jordan or SYSOP along with
the information requested on this form or an uploaded copy of the
REGISTER.FRM file (change the name to your last name, i.e. JORDAN.FRM).
I will process the order as soon as I receive it and in most cases deliver
your key to you that night or the next day.
=============================================================================
Check One: Visa_____ Master Card_____
Account Number: ____________________________________
Expiration Date: ___________________________________
Name on Card: _______________________________________
Signature: __________________________________________
* Signature is required if mailed *
Thank You For Your Support
Orders Are Processed Promptly
Mike Jordan
============================================================================