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Text File  |  1992-11-18  |  2KB  |  59 lines
  1.                       POSTLINK ORDER FORM
  2.  
  3. DO YOU ALREADY OWN PCRELAY SOFTWARE? [ ] HUB SOFTWARE [ ] NODE SOFTWARE
  4.  
  5. SYSOP'S NAME:_________________________________________________________
  6.  
  7. MAILING ADDRESS:______________________________________________________
  8.  
  9. CITY:____________________________  STATE:___________  ZIP:____________
  10.  
  11. VOICE TELEPHONE:______________________________________________________
  12.  
  13. IS THIS PHONE:  [ ] HOME       [ ]  BUSINESS
  14.    (whereever possible please provide a home phone number)
  15.  
  16. BBS NAME:_____________________________________________________________
  17.  
  18. BBS TELEPHONE:________________________________________________________
  19.  
  20. NUMBER OF NODES:___________  MAXIMUM BAUD RATE:_______________________
  21.  
  22. NUMBER OF YEARS BBS IN OPERATION:_____________________________________
  23.  
  24. BBS SOFTWARE:_________________________________________________________
  25.  
  26. NODE ID DESIRED_(12 LETTERS)__________________________________________
  27.  
  28. SERIAL NUMBER(if PCRelay node software already issued)________________
  29.  
  30. WHICH BBS NETWORK ARE YOU USING THIS SOFTWARE WITH?___________________
  31.  
  32. DO YOU NEED INFORMATION ON NETWORKS?               [ ] YES      [ ] NO
  33.  
  34.  
  35. SIGNATURE:________________________________________  DATE:_____________
  36.  
  37. Please complete and return this form to:
  38.  
  39.                             Bonnie Anthony, M.D.
  40.                             6901 Whittier Blvd.
  41.                             Bethesda, MD 20817
  42.  
  43. FAX Number 301-229-7574
  44. Voice = W:301-229-7028 H: 301-229-7244 BBS:301-229-5623/5342;
  45.                                            301-320-9310
  46. POSTLINK Software = $50.00
  47. RIME membership = $25
  48.  
  49. Now accepting Visa/Master Card - fax your form and credit card
  50. number,including your expiration date today, have your software
  51. available for download from my bbs within 24 hours whenever possible.
  52. Please include a password so I may register you on my BBS.
  53.  
  54. CREDIT CARD NUMBER__________________________________________
  55.  
  56. EXPIRATION DATE_____________________________________________
  57.  
  58. PASSWORD_____________________________________________________
  59.