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REGISTER.FRM
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1991-11-13
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PCB-REWARD REGISTRATION FORM
Name:___________________________________________________
BBS Name:_______________________________________________
Address:________________________________________________
City:___________________________________________________
State:____________
Zip:______________
Phone:________________
BBS Name or Name you wish to make registration in:
------------------------------------------------------
(Note: Spell exactly as you wish it to appear.
PLEASE PRINT)
Please enclose the registration fee of $10.00 and mail it to the
address below. I will then send you the registration number via
mail. Future upgrades will be made available on Software HEaven
BBS. This registration number will be good for all future
releases.
MAKE CHECKS PAYABLE TO : Tom Gregory
-------------------------------------
Mailing address: Tom Gregory
PCB-REWARD REGISTRATION
5278 Tracy Ct.
Stone Mountain, GA. 30083
(404)-413-6579