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REGISTER.FRM
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1992-09-09
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2KB
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52 lines
R E G I S T R A T I O N
WildList - Software Registration Form
Amount enclosed : $_______
Real Name : _________________________________________________________________
Registered Name :____________________________________________________________
(If the name shown on the, "Registered to" - is different then your real
name then please put it on the above line, else leave blank)
Address : ___________________________________________________________________
City : ___________________________ State : _________ Zip : ______________
Computer : _____________________________ Memory Size : ___________________
BBS Name : __________________________________________________________________
Voice Number : ________________________ Data Number : ______________________
Modem Type : __________________________ Fido Address : _____________________
WildCat Version : ______________________ Wildcat Reg # ___________________
-----------------------------------------------------------------------------
Credit Card Type ________________ Credit Card # _____________________________
Card Exp. Date ________________
Exact Name of Card Owner ____________________________________________________
Comments: ___________________________________________________________________
___________________________________________________________________
Mail to: Richard Skinner 802-A Eagle Pass Bryan Tx 77802
$15.00 - Registered Key and Updates
OR Credit Card Registrastions Maybe sent via
Netmail to FIDO 1:117/112 with Message.