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REGISTER.FRM
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1992-03-11
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WhizPad Registration Form
Version 1.00
To register, print this form, fill out the blanks, and include a
cheque or money-order of $10 (Cdn. for Canadian orders, otherwise
American) or more, to:
Patrick Lam
2780 Honore Beaugrand
Montreal, Quebec, Canada
H1L 5Y3
I will personally call and upload the next two major releases of
the WhizPad to your BBS, (North America only) if you create an account
for "Patrick Lam" and write the password in the blank below. If you
include $20, I will upload the current version, plus the next two
releases, personalised.
Real Name: _______________________________________________
Alias: _______________________________________________
Street Address: _______________________________________________
City, Province (State): _______________________________________________
Postal Code (ZIP code): _______________________________________________
Please check one:
_ Canada _ United States
_ Other (specify) ________________________________________________
BBS Name: ________________________________________________
BBS Program + version: ________________________________________________
BBS Phone Number: ________________________________________________
My password: ________________________________________________
- Patrick Lam