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REGISTER.FRM
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1992-10-15
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2KB
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49 lines
Samsara Productions Registration Form
Name:_____________________________________________
Address:_____________________________________________
City:_____________________________________________
State:___
ZIP:______________
________________________________________________________________________
Software:
SubTotal
[_] Last Ten Visitors Qty __ x $15.00 _____
(for Wildcat! 3.x BBS's)
________________________________________________________________________
**PRICES SUBJECT TO CHANGE WITHOUT NOTICE** Total: _____
Name of your BBS:_______________________________________________________
BBS Phone Number:_______________________________________________________
WILDCAT! Version:_______________________________________________________
Computer: [_]8088/8086 [_]80286 [_]80386 [_]80486 [_]Other _____________
Monitor: [_]Mono [_]CGA [_]EGA [_]VGA [_]SVGA
Comments:_______________________________________________________________
________________________________________________________________________
________________________________________________________________________
NOTE: If you do not have a printer, please include as much
of the above information as possible.
Send Check or Money Order (U.S. Funds Only) payable to:
Jamey Hopkins
610 N Alma School Rd Ste 18
Chandler, Az 85224-3687
Support BBS:
The Immortal! BBS
(602) 926-0281
v.32, v.42bis
RelayNet -> IMMORTAL