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Text File  |  1991-05-16  |  1KB  |  41 lines
  1. DiscTrak System
  2. (c)1991 Blam Entertainment Group
  3. Vendor/BBS Subscription Form
  4. Version 1.611
  5.  
  6.  
  7.    Remit to:       Blaine R. Young
  8.                    Blam Entertainment Group
  9.                    5517 Pacific Blvd #4404
  10.                    Boca Raton, FL  33433           DATE _________________
  11.  
  12.   Current Revision ____________________    Compile Date _________________
  13.  
  14.  
  15.                                          Subscription 
  16. Subscription Type                            Fee       QUANTITY  SUBTOTAL
  17. --------------------------------------- -------------- --------  --------
  18.  
  19. Automatic Upgrades - select disk size    $5 per disk  x________  ________
  20.  
  21.   5-1/4  ________       3-1/2  ________          TOTAL ________  ________
  22.  
  23.  
  24. Company/BBS______________________________________________________________
  25.  
  26. Address__________________________________________________________________
  27.  
  28. _________________________________________________________________________
  29.  
  30. _________________________________________________________________________
  31.  
  32. Contact__________________________________________________________________
  33.  
  34. Phone _____________________________ (BBS)________________________________
  35.  
  36. Distribution Method______________________________________________________
  37.  
  38. *    Please make checks payable to Blaine R. Young
  39. *    All checks must be drawn on U.S. banks and payable in U.S. currency
  40. *    All diskettes shipped will be low density
  41.