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REGISTER.FRM
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Text File
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1991-11-18
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4KB
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63 lines
SUNRISE DOOR/UTILITY SOFTWARE REGISTRATION APPLICATION
______________________________________________________
SUNRISE DOOR SOFTWARE MAIL to: Al Lawrence
SUNRISE-80 BBS 604 BainBridge Drive
(404) 256-9525 HST 19.2 Atlanta, Ga 30327
________________________________________________________________________
* FIRST and LAST NAME _____________________________________________
ADDRESS _____________________________________________
CITY, STATE, ZIP _________________________ ____ _________
VOICE TELEPHONE # _________________________
* YOUR BBS NAME _____________________________________________
Password for pre-registration on SUNRISE-80 _____________________
____________________________________________________________________________
| |
| CHECK the BOX(es) of the Door(s) you are registering. DO NOT write in the |
| space adjacent to the suggested donation ($). ^^^^^^^^^^^^ |
|____________________________________________________________________________|
_ _
|_| Triple Yahtzee ($20)_____________ |_| Box Poker ($20)_____________
_ _
|_| Wheel of Fortune($20)_____________ |_| Over Under ($20)_____________
_ _
|_| Ladders Dice ($20)_____________ |_| Score Purge ($15)_____________
_ _
|_| Hiroll Dice ($20)_____________ |_| 3-Pair Poker($20)_____________
_ _
|_| States ($NC)_____________ |_| Monte Carlo ($20)_____________
_ _
|_| Adopt-a-Door ($10)_____________ |_| Word Search ($20)_____________
_ _
|_| Word Shuffle ($20)_____________ |_| PC-Yahtzee ($15)_____________
_ _
|_| Betsy Ross ($20)_____________ |_| Box Dice ($20)_____________
_ _
|_| Cryptograms ($20)_____________ |_| Rescue ($20)_____________
_ _
|_| Triangle ($20)_____________ |_| HOF Bulletin(N/C)_____________
_ _
|_| AutoConf ($20)_____________ |_|
TOTAL Enclosed__________(U.S. FUNDS ONLY !!!!)
(Make Check/Money Order Payable to: Al Lawrence)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
CREDIT CARDS accepted either ONLINE (BBS) or MAIL (include Supplemental Form)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Please allow sufficient time for your letter to be received before calling
to pick up your registration #(s). Or supply me with a self-addressed
stamped envelope and receive registration number by return mail !!
* WARNING: THESE ITEMS MUST MATCH EXACTLY WITH THE WAY YOU HAVE
ENTERED THEM IN THE CONFIGURATION FILE. UPPER AND
LOWER CASE IS CRITICAL !!!!!
(11/18/91)
----------------------------- SUNRISE USE ONLY -----------------------------
Date Received __________________ Amt Received ____________