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Text File  |  1991-06-18  |  3KB  |  62 lines
  1.  
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  3.      MESSAGE TO NEXT CALLER DOOR (M.T.N.C.) v2.00       REGISTRATION FORM
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  5.  
  6.   Please PRINT or TYPE these EXACTLY as they are in your configuration file.
  7.  
  8.                                                    +-------------------------+
  9.       SysOp Name: _______________________________  | ** Internal Use Only ** |
  10.                                                    |-------------------------|
  11.          Address: _______________________________  |                         |
  12.                                                    | Date Rcvd: _____________|
  13.                   _______________________________  |                         |
  14.                                                    | Amt. Rcvd: _____________|
  15.             City: _______________________________  |                         |
  16.                                                    |  Reg. Key: _____________|
  17.   State/Province: _______________________________  |                         |
  18.                                                    | Sent via: [ ] FidoNet   |
  19.  Zip/Postal Code: _______________________________  |           [ ] U.S. Mail |
  20.                                                    |           [ ] __________|
  21.          Country: _______________________________  |                         |
  22.                                                    +-------------------------+
  23.  
  24.  Suggested Amount:     Enclosed is my registration fee of $__________ U.S.
  25.     $5.00 U.S.
  26.                        [ ] Check    [ ] Money Order    [ ] ______________
  27.  
  28.        BBS Name:  _______________________________________________________
  29.  
  30.       BBS Phone:  _____________________  Max Baud:  _____________________
  31.  
  32.           Hours:  _____________________  Net/Node:  _____________________
  33.  
  34.     BBS Software/Version:  ______________________________________________
  35.  
  36.      Where did you get M.T.N.C.:     [ ] Author      [ ] Local BBS
  37.  
  38.                                      [ ] S.D.S.      [ ] ________________
  39.  
  40.     Please leave your comments/suggestions here:
  41.  
  42.     _____________________________________________________________________
  43.  
  44.     _____________________________________________________________________
  45.  
  46.     _____________________________________________________________________
  47.  
  48.     _____________________________________________________________________
  49.  
  50.     _____________________________________________________________________
  51.  
  52.     _____________________________________________________________________
  53.  
  54.  
  55.       Please make Checks and Money Orders Payable to ALEXANDER BARBARA.
  56.  
  57.              Please send form and        M.T.N.C. Registration
  58.                 enclosures to:           c/o Alexander Barbara
  59.                                          1572 Route 250
  60.                                          Penfield, New York 14526
  61.                                          U.S.A.
  62.