home *** CD-ROM | disk | FTP | other *** search
/ CD Shareware Magazine 1996 December / CD_shareware_12-96.iso / DOS / Comunic / OSBG101.ZIP / REGISTER.DOC < prev   
Encoding:
Text File  |  1996-08-23  |  2.3 KB  |  45 lines
  1. --------------------------------------------------------------------------
  2.                Ol'Scuff Bar & Grill v1.01 ORDER FORM                        
  3. --------------------------------------------------------------------------
  4. (Please fill out this form and send it along with a check or money order  
  5. for FIVE DOLLARS!. $5.00 US currency.
  6.  
  7.          YOUR NAME : _______________________________   (AS SHOULD APPEAR IN
  8.                                                         REGISTRATION)      
  9.     POSTAL ADDRESS : ______________________________________________________
  10.  
  11.                      ______________________________________________________
  12.  
  13. VOICE PHONE NUMBER : ______________________                                
  14.                                                                            
  15.   FIDO ADDRESSES :   ____________________________________   (IF APPLICABLE)
  16.  
  17.  
  18.  
  19. I WISH TO RECEIVE MY Ol'Scruff's Bar & Grill REGISTRATION KEY BY:                        
  20.           ___                                                         
  21.          |   | - CONVENTIONAL MAIL             
  22.          |___|                                                       
  23.           ___                                                    
  24.          |   | - CALL TO: The Final Reflection BBS                                   
  25.          |___|   (615) 840-5509
  26.                                              _____________________________
  27.                                              PASSWORD FOR KEY DATABASE.
  28.                                              (DON'T use BBS PASSWORD!) 
  29.                                              (1-15 characters)
  30.  
  31. I AGREE TO THE REGISTRATION TERMS,           ____________________________
  32. SET FORTH IN OSBG.DOC                                (SIGNATURE)
  33.  
  34. MAKE CHECKS  PAYABLE TO:   CARL GOAD
  35.                            118 JFEFFERSON DRIVE                        
  36.                            COLUMBIA, TN 38401
  37.  
  38.                            USA
  39.  
  40. +-- OFFICIAL USE ONLY ----------------------------------------------------+
  41. |                                                                         |
  42. | Date Recd : _______  Name : ___________________  Key : _______________ |
  43. |                                                                         |
  44. +-------------------------------------------------------------------------+
  45.