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Text File  |  1992-11-30  |  2KB  |  63 lines
  1. ---------------------------------------------------------------
  2.                          CRUNCHWARE
  3.                  Crunch League Football v2.1
  4.                       Registration Form
  5. ---------------------------------------------------------------
  6.            Real Name: ________________________________________
  7.  
  8.       Street Address: ________________________________________
  9.  
  10.     City, State  ZIP: ________________________________________
  11.  
  12. Sysop Alias (if any): ________________________________________
  13.  
  14.             BBS Name: ________________________________________
  15.  
  16.            BBS Phone: (_____) ______-__________
  17.  
  18.          Voice Phone: (_____) ______-__________
  19.  
  20.       E-Mail Address: ________________________________________
  21.                       (e.g., WWIVNet, FidoNet, etc.)
  22.  
  23. Have you registered any other Crunchware?     [ ] Yes   [ ] No 
  24.  
  25.         If yes, what? ________________________________________
  26. ---------------------------------------------------------------
  27. Please select the name you would like to appear in your
  28. registered copy (select ONE):
  29.  
  30.    [ ] Real Name
  31.    [ ] Sysop Alias
  32.    [ ] BBS Name
  33.    [ ] Other (30 ch. max): "_________________________________"
  34. ---------------------------------------------------------------
  35. Please mail this form with a check or money order for $10 to:
  36.  
  37. Stephen V. David
  38. 6030 Fort Hunt Road
  39. Alexandria, VA  22307-1203
  40.  
  41. We suggest you do not send cash.  Your personalized registration
  42. code should arrive within two to three weeks.  Please include ANY
  43. comments or suggestions on the back of this form or on another
  44. sheet.
  45. ----------------------------------------------------------------
  46. By signing this document, you are legally bound not to
  47. distribute your registration code in any way:
  48.  
  49.  
  50. _________________________________________    _____________
  51. Signature                                    Date
  52. ----------------------------------------------------------------
  53. Thanks for your support!
  54. ----------------------------------------------------------------
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