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Text File  |  1993-06-17  |  1KB  |  28 lines
  1. (=- LOGSTAT REGISTRATION FORM -=)
  2.  
  3. Sysop Name (Real Names Only!): [_____________________________________]
  4. Company Name (if any): [_____________________________________________]
  5. Location (Complete Postal Address): [________________________________]
  6.                                     [________________________________]
  7.                                     [________________________________]
  8.                                     [________________________________]
  9.  
  10. BBS Name: [__________________________________]
  11. BBS Software: [______________________________]
  12. BBS Phone Number: [_(____)______-____________]
  13. Baud Rates Supported: [______________________]
  14.  
  15. Your Birthdate (MM/DD/YY): [___/___/___] 
  16. FidoNet Node (if applicable): [____________________________]
  17. CircuitNet Node (if applicable): [____________]
  18.  
  19. Version of LogStat: [______]
  20. How would you like your LogStat registration key to be sent to you?
  21.    [  ] Standard postage (United States only)
  22.    [  ] FidoNet (netmail)
  23.    [  ] CircuitNet (routed mail)
  24. Remember to make check / money order for $3.00 payable to Jason Duke.
  25.  
  26. Read LOGSTAT.DOC for more information about registration of LogStat.
  27.  
  28.