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REGISTER.FRM
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Text File
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1992-06-08
|
5KB
|
65 lines
+-------------------------------------------------------------------------+
| T E C H N O T R I V I A R E G I S T R A T I O N F O R M |
+-------------------------------------------------------------------------+
| |
| Your Name _____________________________________________________________ |
| |
| BBS Name ______________________________________________________________ |
| |
| Street Adress _________________________________________________________ |
| |
| City, State and Zip Code ______________________________________________ |
| |
| Country _______________________________________________________________ |
| |
| BBS Phone (____) _______-_________ FIDO Address ___:_______/_______ |
| |
| Suggestions/Comments/Bugs _____________________________________________ |
| |
| _______________________________________________________________________ |
| |
| Please Select The Options You Would Like: |
| |
| [ ] Basic Registration Fee....$15.00 |
| (Includes Game & General I Question Pack) |
| |
| [ ] Intermediate Registration.$20.00 - Save $10 |
| (Includes Game & General I-IV Question Packs) |
| |
| [ ] Advanced Registration.....$40.00 - Save $30 |
| (Includes Game & All 11 Question Packs) |
| |
| [ ] Upgrade From Old Version..$7.50 - Save $7.50 |
| |
| [ ] 3 1/2" Low Density Disk...$1.00 |
| |
| +---------------------------------------+ |
| | Single Question Packs | |
| +---------------------------------------+ |
| | [ ] General II $5.00 | |
| | [ ] General III $5.00 | |
| | [ ] General IV $5.00 | |
| | [ ] Music I $5.00 | |
| | [ ] Music II $5.00 | |
| | [ ] Brain-Strain I $5.00 | |
| | [ ] Brain-Strain II $5.00 | |
| | [ ] The 80's $5.00 | |
| | [ ] The 60's $5.00 | |
| | [ ] Disney I $5.00 | |
| | [ ] Disney II $5.00 | |
| +---------------------------------------+ |
| Grand Total | $ | |
| +-----------+ |
| |
+-------------------------------------------------------------------------+
+-------------------------------------------------------------------------+
| Print This Form, Fill Out, And Mail To: |
| |
| Player's Choice Software |
| c/o David Mitchell |
| 36205 6 Mile Road |
| Livonia, MI 48152 |
| |
| (Make Checks Payable To DAVID MITCHELL) |
+-------------------------------------------------------------------------+