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Text File  |  1992-10-15  |  2KB  |  49 lines
  1.  
  2.              Samsara Productions Registration Form
  3.  
  4.  
  5.    Name:_____________________________________________
  6. Address:_____________________________________________
  7.    City:_____________________________________________
  8.   State:___
  9.     ZIP:______________
  10.  
  11. ________________________________________________________________________
  12. Software:  
  13.                                                                 SubTotal
  14.  
  15.  [_] Last Ten Visitors                         Qty __  x  $15.00   _____
  16.       (for Wildcat! 3.x BBS's)
  17.  
  18. ________________________________________________________________________
  19. **PRICES SUBJECT TO CHANGE WITHOUT NOTICE**                Total:  _____
  20.  
  21. Name of your BBS:_______________________________________________________
  22. BBS Phone Number:_______________________________________________________
  23. WILDCAT! Version:_______________________________________________________
  24.  
  25. Computer: [_]8088/8086 [_]80286 [_]80386 [_]80486 [_]Other _____________ 
  26.  Monitor: [_]Mono [_]CGA [_]EGA [_]VGA [_]SVGA
  27.  
  28. Comments:_______________________________________________________________
  29. ________________________________________________________________________
  30. ________________________________________________________________________
  31.  
  32. NOTE: If you do not have a printer, please include as much
  33.       of the above information as possible.
  34.  
  35. Send Check or Money Order (U.S. Funds Only) payable to:
  36.  
  37.      Jamey Hopkins
  38.      610 N Alma School Rd Ste 18
  39.      Chandler, Az 85224-3687
  40.  
  41. Support BBS:
  42.  
  43.      The Immortal! BBS
  44.      (602) 926-0281
  45.      v.32, v.42bis
  46.      RelayNet -> IMMORTAL
  47.  
  48.  
  49.