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REGISTER.FRM
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1993-01-13
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Country ___________________________________ Date ____/____/____
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11211092N B G Q W K R E G I S T R A T I O N #11211092
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Voice B.J. Guillot Board
(713) 893-9320 2611 Rushwood Circle (713) 893-9124
Houston, Tx 77067-1941 v32bis 14.4K
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Name ______________________________________________________________
Address ___________________________________________________________
City ___________________________ State/Province __________________
Zip/Postal Code ________________ Birth date _______/______/_______
Home Phone _(_____)______________ Work Phone _(_____)______________
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Name of primary board _____________________________________________
Telephone number of primary dial up line _(_____)__________________
Approximately, how many users registered on your system ___________
Approxmiately, how many message bases on your system ______________
Modem type _________________ Highest speed _______________________
If you are running multiple boards using GT POWER, please specify the
number of nodes, network type (i.e., Lantastic, Novell, Desqview, not
LAN'ed together, etc.) Nodes _________ Network __________________
Primary version of GT POWER in use ____.____ Serial Num __________
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SUGGESTED REGISTRATION
$25.00 USD FOR BGQWK (BGNET INCLUDED AS BONUS) _$____.____ ENCLOSED
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call tranquility base and open door number four to pick up your key
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** PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO B.J. GUILLOT **
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