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REGISTER.FRM
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Wrap
Text File
|
1992-03-02
|
5KB
|
61 lines
___________________________________________________________________________
| |
| Ten-In-A-Row Registration Form |
|___________________________________________________________________________|
| |
| (Please Print Neatly) |
| |
| Your Name _______________________________________________________________ |
| |
| Street Address __________________________________________________________ |
| |
| City ___________________ State _________ Zip Code _____________________ |
| |
| Your Voice Phone Number (______) _____________ - ________________________ |
| |
| BBS Name ________________________________________________________________ |
| |
| Sysop Name ______________________________________________________________ |
| |
| BBS Phone Number ________________________________________________________ |
| |
| BBS Max Baud ____________________________________________________________ |
| |
| FIDONET Number (If Applicable) __________________________________________ |
| |
| Comments / Suggestions __________________________________________________ |
| |
| _________________________________________________________________________ |
| |
| _________________________________________________________________________ |
| |
| |
| Registration Costs: |
| (Please Check Applicable Boxes) |
| |
| [ ] Basic Registration (Includes Shipping) ....... $15.00 |
| [ ] Upload To BBS (Same Day Shipping) ............ $02.00 |
| [ ] Ship On 3 1/2 Low Density Diskette ........... $01.00 |
| [ ] Ship On 5 1/4 Low Density Diskette ........... -FREE- |
| +======+ |
| Grand Total | $ | |
| +======+ |
| |
| Upon receiving your check, the registration key (TENINARO.KEY) will |
| be either mailed or uploaded immediately. If uploaded, please create an |
| account with the following information: |
| |
| User Name : David Mitchell Password : PCREG Phone : 313-464-1470 |
| |
| Please make Checks Payable to : DAVID MITCHELL |
| |
| After form is completely filled out, mail the form and check to: |
| |
| Player's Choice Software |
| c/o Dave Mitchell |
| 36205 6 Mile Road |
| Livonia, MI 48152 |
| |
|___________________________________________________________________________|