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REGISTER.FRM
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1991-06-28
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2KB
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The Verifier Registration Form
BBS Name : _______________________________________________________
Sysop Name : _____________________________________________________
Address : ________________________________________________________
City : __________________ State : _______________ Zip : _________
BBS Phone Number : __________________________________
(Please Include ALL Nodes)
Voice Phone Number : ________________________________
Fido Net/Node ID : __________________________________
For City Limits Use Only :
************************************
* Registration Number *
************************************
* *
************************************
Sale!!!
If your registration is Postmarked before 10/1/91 you can receive
The Verifier for $10 Please Read Below.
Check the Following
Products that you
wish to Register.
Single BBS Registration
(PostMarked After 8/28/91 and)
(PostMarked before 10/1/91) $10 [ ]
Single BBS Registration
(PostMarked after 10/1/91) $20 [ ]
Shipping $ 5 [ ]
Check Here if You want to Download The Verifier
and save shipping costs. I will notify you voice
when I receive your registration. Download [ ]
( *NOTE* $10 Registrations postmarked after 10/1/91 will be returned )
Mail Check or Money Order to:
Scott Green
915 SW Lincoln
Topeka, KS 66606
Please Allow 2-3 Weeks for Delivery