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REGISTER.FRM
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1992-11-14
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2KB
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58 lines
Country ___________________________________ Date ____/____/____
===================================================================
11144092F B G Q W K R E G I S T R A T I O N #11144092
=================B=G=N=E=T===R=E=G=I=S=T=R=A=T=I=O=N===============
Voice B.J. Guillot Board
(713) 893-9320 2611 Rushwood Circle (713) 893-9124
Houston, Tx 77067-1941 v32bis 14.4K
===================================================================
Name ______________________________________________________________
Address ___________________________________________________________
City ___________________________ State/Province __________________
Zip/Postal Code ________________ Birth date _______/______/_______
Home Phone _(_____)______________ Work Phone _(_____)______________
===================================================================
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
$25.00 US DOLLARS FOR BOTH BGQWK AND BGNET _$____.____ ENCLOSED
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call tranquility base and open door number four to pick up your key
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** PLEASE MAKE CHECKS AND MONEY ORDERS PAYABLE TO B.J. GUILLOT **
===================================================================