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Text File  |  1993-03-31  |  2KB  |  71 lines
  1.  
  2.                     USADoor v1.00 Registration
  3.                   ------------------------------
  4.  
  5. Please send registration forms to:      Infinite Data Source
  6.                                         6397 Little River Tnpk
  7.                                         Alexandria, VA, 22312
  8.  
  9. Amount Enclosed:    [$45] for USADoor Registration
  10.  
  11.  
  12. Name:               [_____________________________________________]
  13.  
  14. Address:            [_____________________________________________]
  15.  
  16. City/State/Zip:     [_____________________________________________]
  17.  
  18.  
  19. BBS Name:           [_____________________________________________]
  20.  
  21. BBS Phone:          [_____________________________________________]
  22.  
  23. Disk(s), Check One:    [_] 3.5 L/D,  [_] 5.25 L/D
  24.  
  25. Password to use on IDS:  (If you wish to download your key file)
  26.  
  27.                     [_____________________________________________]
  28.  
  29.  
  30.                 Additional Information (Optional)
  31.  
  32.  
  33. BBS Software & Ver #:    [________________________________________]
  34.  
  35. Number of BBS Lines:     [________________________________________]
  36.  
  37. Board's Specialty:       [________________________________________]
  38.  
  39. Highest Modem Speed:     [________________________________________]
  40.  
  41. Home Phone:              [________________________________________]
  42. Payment Method
  43. [ ] Check or Money order enclosed
  44. [ ] Charge My credit card
  45.  
  46. Type of Card (Visa/Master) <---- circle one
  47.  
  48. Exact name that appears on the Credit Card
  49.  
  50. _______________________________________________________
  51.  
  52. Card Number
  53.  
  54. _______________________________________________________
  55.  
  56. Expiration Date
  57.  
  58. _______________________________________________________
  59.  
  60. * Note: If you are registering with your credit card, you may
  61.     upload  this file to Infinite Data Source to get your
  62.     key file fast.     
  63.  
  64.         Infinite Data Source    (Voice)- (703) 642-5121
  65.                                 (FAX)  - (703) 642-5122
  66.                                 (BBS)  - (703) 642-8704
  67.  
  68. THANKS FOR SUPPORTING SHAREWARE!, Please leave any additional comments
  69. below:
  70.  
  71.