home *** CD-ROM | disk | FTP | other *** search
/ BBS Toolkit / BBS Toolkit.iso / qbbs / mc100g.zip / REGISTER.FRM < prev   
Text File  |  1992-02-27  |  2KB  |  58 lines
  1.  
  2.                                 MultiChat 1.00Γ
  3.  
  4.                                Registration Form
  5.  
  6.  
  7.  
  8.  
  9.  
  10.         Sysop Name: ____________________________________________________
  11.  
  12.  
  13.         BBS Name: ______________________________________________________
  14.  
  15.  
  16.         Mailing Address: _______________________________________________
  17.  
  18.         ________________________________________________________________
  19.  
  20.         ________________________________________________________________
  21.  
  22.         ________________________________________________________________
  23.  
  24.  
  25.  
  26.         Registration Type:  [ ]  Non-Commercial                   15 USD
  27.                                  (Private residence, no profits)
  28.  
  29.                             [ ]  Semi-Commercial                  20 USD
  30.                                  (Private residence, Profits)
  31.  
  32.                             [ ]  Commercial                       35 USD
  33.                                  (Commercial environment)
  34.  
  35.  
  36.  
  37.         Type of payment:    [ ] Bank Transfer*              [ ] Cheque**
  38.  
  39.  
  40.  
  41.         [ ] Please send me back my key on FidoNet to: __________________
  42.             (The message will NOT be sent as crash, but regular routed!)
  43.  
  44.  
  45.  
  46.         Date: _______________           Signature: _____________________
  47.  
  48.         ════════════════════════════════════════════════════════════════
  49.  
  50.         * Bank Transfer to: Bank Hapoalim B.M. Central Branch, Tel-Aviv,
  51.           ISRAEL, ACC. No 339795.
  52.  
  53.         ** Make the cheque payable to Yossi Gottlieb.
  54.  
  55.         Send to: Yossi Gottlieb, YossiWare Developments, 11 Armonim St.,
  56.                  Ramat Gan 52587, ISRAEL.
  57.  
  58.