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OS/2 Shareware BBS: 2 BBS
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REGISTER.FRM
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1996-06-09
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LoraBBS UserReg version 1.00 -- Registration form
Name : _______________________________________________________
Address : _______________________________________________________
City : _______________________________________________________
Country : _______________________________________________________
FidoNet : _______________________________________________________
E-Mail : _______________________________________________________
Name of the Sysop as written in LoraBBS [Global>Site info>Sysop]
[____________________________________]
Registation is send for:
[ ] LoraBBS UserReg version 1.00 $15 $___
[ ] Send crash by phone within EC(*) $1 $___
[ ] Send crash by phone outside EC(*) $2 $___
[ ] I enclose a cheque/banknote for payment $5 $___
[ ] Sent by E-Mail
Total: $___
Resedents within The Netherlands can also deposit a registration
fee of 25 Dutch Guilders on Giro 45.28.331 of A S Erné in Diemen.
Please send this registration with the needed fee to:
EAgle Soft
a.t.t.n. Alexander Erné
Burg de Kievietstraat 86
1111 GR Diemen - The Netherlands
For the USA and Canada, send the registration form with the
needed fee to the following address:
Robert M Butler
7941 NW Crossland Cir
Lawton, Ok. 73505
(*) EC stands for: European Community. You are considered a resident
of the EC if your government is a complete member of the EC.
(Registration prices mentioned are in US dollars)