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Text File  |  1988-09-08  |  4KB  |  74 lines
  1. |--------------------------------------------------------------------------|
  2. |                 Quick News Editor v3.0 Registration Form                 |
  3. |                                                                          |
  4. |                     Suggested Contribution is $15.00                     |
  5. |                                                                          |
  6. |                              Please Send To                              |
  7. |                              --------------                              |
  8. |                              Scott M. Pazur                              |
  9. |                                PO Box 582                                |
  10. |                           Englishtown NJ 07726                           |
  11. |                                                                          |
  12. |--------------------------------------------------------------------------|
  13. |                                                                          |
  14. |                                                                          |
  15. | Name: _____________________________________________  Date: _____________ |
  16. |                                                                          |
  17. | Mailing Address: _______________________________________________________ |
  18. |                                                                          |
  19. |            City: _______________________________________________________ |
  20. |                                                                          |
  21. |      State, Zip: _______________________________________________________ |
  22. |                                                                          |
  23. |                                                                          |
  24. | Voice Phone Number (days): _____________________________________________ |
  25. |                                                                          |
  26. | Voice Phone Number (eves): _____________________________________________ |
  27. |                                                                          |
  28. |                                                                          |
  29. | BBS System Name: _______________________________________________________ |
  30. |                                                                          |
  31. | BBS Software (and version): ____________________________________________ |
  32. |                                                                          |
  33. | BBS Phone Number(s): ___________________________________________________ |
  34. |                      ___________________________________________________ |
  35. |                                                                          |
  36. | Baud Rates (if 9600+, modem used): _____________________________________ |
  37. |                                                                          |
  38. | Suggestions for future releases:                                         |
  39. | ________________________________________________________________________ |
  40. | ________________________________________________________________________ |
  41. | ________________________________________________________________________ |
  42. | ________________________________________________________________________ |
  43. | ________________________________________________________________________ |
  44. | ________________________________________________________________________ |
  45. | ________________________________________________________________________ |
  46. |                                                                          |
  47. |                                                                          |
  48. | Thank You for your support.  For questions, I can be reached on either   |
  49. | of the following PC-Board systems:                                       |
  50. |                                                                          |
  51. |                                                                          |
  52. |  The Right Choice BBS   Spring Lake Hts NJ   201-974-8317 Public Node    |
  53. |                                                           1200/2400      |
  54. |                                                                          |
  55. |  The Jersey Shore BBS   Sayreville NJ        201-613-7350 9600 w/HST     |
  56. |                                                                          |
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