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REGISTER.FRM
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Text File
|
1996-11-08
|
5KB
|
64 lines
==============================================================================
| SOFTWARE ORDER FORM Today's Date: ____________ |
==============================================================================
| Your Name:________________________________________________________________ |
| |
| BBS Name :________________________________________________________________ |
| (Maximum of 40 characters) |
| |
| Be sure to PRINT or TYPE the above information EXACTLY as you will enter |
| it in the .CFG file. The case IS VERY important when I create the serial |
| numbers. |
| |
| Street:_______________________________________ Voice Phone: (___) ___-____ |
| |
| City:__________________________ Province/State:___________________________ |
| |
| Postal/Zip Code:_________________________ BBS Phone Number: (___) ___-____ |
|============================================================================|
| [√] Name of Program Ver. [√] Name of Program Ver. |
|============================================================================|
| [ ] Scuba Diving Trivia v3.05 [ ] USCG Captains Quiz v1.05 |
| [ ] Cheers! Trivia v1.05 [ ] James Bond! Trivia v1.05 |
| [ ] Elvis Presley! Trivia v1.05 [ ] 70's! Trivia v1.05 |
| [ ] Fire Rescue! Trivia v1.05 [ ] Christmas! Trivia v1.05 |
| [ ] Canadian! Trivia v1.05 [ ] Quantum Leap! Trivia v1.05 |
| [ ] The Beatles! Trivia v1.05 [ ] 3 Stooges! Trivia v1.05 |
| |
| The price for the doors above is $12.00 each...if you order only ONE. |
| HOWEVER, If you order more the ONE door, subtract $2.00 for each door |
| you order. ONE Door = $12.00 + (S&H), TWO+ Doors = $10.00 each + (S&H). | |
| ========================================================================== |
| *** Shipping Information *** |
| |
| [ ] You will download from Blue Water BBS. : $ FREE |
| |
| [ ] US MAIL - Shipping Charge includes Disk/Mailer/Postage. |
| * Regular US Mail of 3½" HD Disks (May take 5-7 days) : $ 3.50 |
| |
| [ ] FIDO CRASH - Phone Charges for me to call you Crash. : $ 1.50 |
| FidoNET Address (MUST be in ZONE 1 ONLY): ____:_____/_____ |
| |
| Added for Shipping: $______ |
| |
| Payment by: [ ] Check [ ] Money Order (Must be in US Currency Only!) |
| [ ] Credit Card (include form CHARGE.IT with your order) |
| |
| ALL Payments MUST be made in US Currency Only! Total Enclosed: $________ |
|============================================================================|
| Authors BBS: Blue Water BBS (305) 257-1842 USR HST/DS 16.8k 8,N,1 |
| |
| If you choose to download your registration from the above BBS, it will be |
| available as a .ZIP file using the first 8 characters in your last name. |
| It will attached in a Private Message to you for you to download it. |
| |
| I will pre-register you with first / last name above. |
| |
| Password you wish to use:______________ Date of Birth: ___/___/___ |
|============================================================================|
| Make Funds Payable and Mail To: Dan Bernasconi |
| P.O. Box 924198 |
| Thank You for Your Support! Homestead, FL 33092-4198 |
|============================================================================|
11/08/96 rev