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Text File  |  1992-11-05  |  2KB  |  53 lines
  1.                        AMOEBA WARE REGISTRATION FORM
  2.                                Order Form
  3.  
  4.  
  5.               Your Name _________________________________________
  6.  
  7.  
  8.               Address   _________________________________________
  9.  
  10.  
  11.               City/State Zip  ___________________________________
  12.  
  13.  
  14.               Your Voice Phone Number  __________________________
  15.  
  16.  
  17.               Your BBS Name   ___________________________________
  18.                              be exact - must match registration #
  19.  
  20.               Your BBS Number ___________________________________
  21.  
  22.  
  23.               Computer Type   ___________________________________
  24.  
  25.  
  26.               BBS SOFTWARE    ___________________________________
  27.  
  28.  
  29.                       Are you running Multi Node?  ______
  30.  
  31.  
  32.              Modem Type (Make/Baud,etc)  ________________________
  33.  
  34.  
  35.                      Where did you here about AMOEBA WARE ?
  36.  
  37.               ____________________________________________________
  38.  
  39.  
  40. check one:
  41.             ____  Nuclear Strike v4.1  ............... $25.00
  42.             ____  Klondike Solitaire v4.0 ............ $25.00
  43.             ____  Kuwaiti Oil v3.0 ....................$25.00
  44.  
  45.             ____  Discount Package (all 3) ............$50.00
  46.  
  47.           Please enclose a check or money order and send to:
  48.  
  49.  
  50.                                 ANDREW BROWN
  51.                               Rt #1 Box 125-B
  52.                               Denton, Maryland
  53.                                     21629