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  1. ╔════════════════════════════════════════════════════════════════════════╗
  2. ║  FLV v1.25 Registration                          Date:                 ║
  3. ║  ──────────────────────                               ──────────────   ║
  4. ║                                                                        ║
  5. ║  Name:                                                                 ║
  6. ║              ────────────────────────────────────                      ║
  7. ║  Address:                                                              ║
  8. ║              ────────────────────────────────────────────────────────  ║
  9. ║                                                                        ║
  10. ║              ────────────────────────────────────────────────────────  ║
  11. ║                                                                        ║
  12. ║  City/ST/Zip ────────────────────────────────────────────────────────  ║
  13. ║                                                                        ║
  14. ║  Where/How   BBS [  ]    Vendor [  ]    Friend [  ]    CIS [  ]        ║
  15. ║  Acquired?   Name/City/State/Phone #:                                  ║
  16. ║                                                                        ║
  17. ║              ──────────────────────────────────────────────────────    ║
  18. ║              Other [  ]                                                ║
  19. ║                                                                        ║
  20. ║  Computer:   IBM PC/XT/AT or compatible [  ]                           ║
  21. ║              IBM PS/2 Model 30/50/60/80 [  ]                           ║
  22. ║              IBM 386/486 -------------- [  ]                           ║
  23. ║                                                                        ║
  24. ║  Disk Size:  [  ] 360K 5.25"  [  ] 1.2M 5.25"                          ║
  25. ║              [  ] 720K 3.5"   [  ] 1.44M 3.5"                          ║
  26. ║                                                                        ║
  27. ║  Do you own a modem? [Y / N]                                           ║
  28. ║                                                                        ║
  29. ║  Maximum Speed: 300 / 1200 / 2400 / 4800 / 9600 / 14400 / 19200        ║
  30. ║                                                                        ║
  31. ║  Reason for using FLV: [  ] BBS Operator                               ║
  32. ║                        [  ] Personal Use                               ║
  33. ║                        [  ] Other                                      ║
  34. ║                                    ──────────────────────────────────  ║
  35. ║                                                                        ║
  36. ║ (*)(*)(*)(*) REGISTRATION OPTIONS INFORMATION IN FLV.DOC (*)(*)(*)(*)  ║
  37. ║                                                                        ║
  38. ║  Registration Option:  [  ] $10  [  ] $15  [  ] $20                    ║
  39. ║                                                                        ║
  40. ║  Text to replace [UNREGISTERED] (BBS Name or Your Name):               ║
  41. ║                                                                        ║
  42. ║   ──────────────────────────────────────────────────────────────────   ║
  43. ║                                                                        ║
  44. ║  Additional text to be added on main menu to replace                   ║
  45. ║    "Call Fantasy Island (219) 696-6904 HST" (or leave blank)           ║
  46. ║                                                                        ║
  47. ║   ──────────────────────────────────────────────────────────────────   ║
  48. ║                                                                        ║
  49. ║   ──────────────────────────────────────────────────────────────────   ║
  50. ║                                                                        ║
  51. ║   ──────────────────────────────────────────────────────────────────   ║
  52. ║                                                                        ║
  53. ║                  Mail to:    LCL Software                              ║
  54. ║                              224 Navajo Trail                          ║
  55. ║                              Lowell, IN 46356                          ║
  56. ║                                                                        ║
  57. ║                                                                        ║
  58. ╚════════════════════════════════════════════════════════════════════════╝
  59.