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REGISTER.FRM
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1991-12-29
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59 lines
Country ___________________________________ Date ____/____/____
===================================================================
B G Q W K R E G I S T R A T I O N
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Voice B.J. Guillot Board
(713) 893-9123 2611 Rushwood Circle (713) 893-9124
Houston, Tx 77067-1941
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Name ______________________________________________________________
Address ___________________________________________________________
City ___________________________ State/Province __________________
Zip/Postal Code ________________ Birth date _______/______/_______
Home Phone _(_____)______________ Work Phone _(_____)______________
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Name of primary board _____________________________________________
Telephone number of primary dial up line _(_____)__________________
Approximately, how many users registered on your system ___________
Approxmiately, how many message bases on your system ______________
Modem type _________________ Highest speed _______________________
If you are running multiple boards using GT POWER, please specify the
number of nodes, network type (i.e., Lantastic, Novell, Desqview, not
LAN'ed together, etc.) Nodes _________ Network __________________
Primary version of GT POWER in use ____.____ Serial Num __________
===================================================================
SUGGESTED REGISTRATION $25.00 US DOLLARS _$____.____ ENCLOSED
===================================================================
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** PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO B. J. GUILLOT **
********************************************************************