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REGFORM.TXT
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1996-09-13
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2KB
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49 lines
------------------------------------------------------------------
LightChat Registration Form
------------------------------------------------------------------
See ORDERING.TXT for local prices and support BBS details.
SysOp Name : _______________________________________ (required)
BBS name : _______________________________________ (required)
Address : __________________________________________________
__________________________________________________
__________________________________________________
FidoNet address : ______________________________________________
Internet e-mail address : ________________________________________
Key obtained by : ( ) Crash netmail ( ) Call to support BBS
( ) Internet e-mail
Options : ( ) Printed manual* ( ) Key/disk by post*
Payment method : ( ) Cash ( ) Cheque/EuroCheque
( ) Credit Card ( ) Postal Order/IMO
( ) CompuServe ( ) Bank Transfer
Amount : _________________ (in registration site's currency)
Credit Card #: _______________________________ Expires: ___/___
Name on card : _______________________________ (EXACTLY as it
appears on card)
Signature : _______________________________
* indicates additional charge - see ORDERING.TXT
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