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Text File  |  1996-08-23  |  2KB  |  46 lines
  1.  
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  4.                          BBS Vaders v1.10 ORDER FORM                        
  5. --------------------------------------------------------------------------
  6. (Please fill out this form and send it along with a check or money order  
  7. for TEN DOLLARS!. $10.00 US currency.
  8.  
  9.          YOUR NAME : _______________________________   (AS SHOULD APPEAR IN
  10.                                                         REGISTRATION)      
  11.     POSTAL ADDRESS : ______________________________________________________
  12.  
  13.                      ______________________________________________________
  14.  
  15. VOICE PHONE NUMBER : ______________________                                
  16.                                                                            
  17.   FIDO ADDRESSES :   ____________________________________   (IF APPLICABLE)
  18.  
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  20.  
  21. I WISH TO RECEIVE MY BBS Vader' REGISTRATION KEY BY:                        
  22.           ___                                ___                           
  23.          |   | - CONVENTIONAL MAIL          |   | - FIDONET "CRASHMAIL"    
  24.          |___|                              |___|                          
  25.           ___                                                    
  26.          |   | - CALL TO Online! USA BBS                                   
  27.          |___|   (615) 388-7766               
  28.                                               
  29.                                              
  30.  
  31. I AGREE TO THE REGISTRATION TERMS,           ____________________________
  32. SET FORTH IN VADER.DOC                        (SIGNATURE)
  33.  
  34. MAKE CHECKS  PAYABLE TO:   KEN COTHRAN
  35.                            1711 NASHVILLE HIGHWAY                        
  36.                            COLUMBIA, TN 38401
  37.  
  38.                            USA
  39.  
  40. +-- OFFICIAL USE ONLY ----------------------------------------------------+
  41. |                                                                         |
  42. | Date Recd : _______  Name : ___________________  Key1 : _______________ |
  43. |                                                                         |
  44. +-------------------------------------------------------------------------+
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