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Text File  |  1992-10-07  |  2KB  |  57 lines

  1.  
  2.   Please fill out this form carefully as this information will be required
  3.   exactly the same in your configuration files. Retain a copy for your own
  4.   records.
  5.  
  6.   You can call and download YOUR registered version within 3 days of your 
  7.   check clearing our bank or receipt of your money order.
  8.  
  9.                     Kitty-Kitty BBS (619) 241-9527
  10.  
  11. _______________________________________________________________________________
  12.  
  13.          Please fill out 1 form for each door/utility ordered.
  14. __________________________________________________________________________
  15.  
  16. PROGRAM NAME:___________________________________NUMBER EACH_______________
  17.  
  18. SYSOP NAME:_______________________________________________________________
  19.  
  20. BBS NAME:_________________________________________________________________
  21.  
  22. BBS REG. NUMBER:__________________________ SOFTWARE:_______________________
  23.  
  24. MAILING ADDRESS:__________________________________________________________
  25.  
  26. CITY:__________________________________STATE:_____________________________
  27.  
  28. ZIP CODE:_______________________ BBS PHONE:___(_______)______-____________
  29.  
  30. VOICE PHONE:___(_______)______-____________ 
  31.  
  32. YOUR PASSWORD REQUIRED FOR SET-UP:________________________________________
  33.  
  34. BIRTHDATE:_____/_____/19_______ CURRENT AGE:____________ SEX:_____________
  35.  
  36. Where did you hear about GACQ?____________________________________________ 
  37.  
  38. TOP MODEM SPEED:__________________________
  39.  
  40. MODEM TYPE:_______________________________________________________________
  41.  
  42.  
  43.      Note: California Residents please add 7.75% Sales Tax
  44.  
  45.      Make checks/money orders payable to : Lonnie VonHoldt
  46.                                              P.O Box 229
  47.                                            Victorville, Ca.
  48.                                              92393-0229
  49.  
  50.  
  51.                        BBS / Support Number : (619) 241-9527
  52.  
  53.                        Thank you for supporting Share Ware!
  54.  
  55. _______________________________________________________________________________
  56. _______________________________________________________________________________
  57.