home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Black Box 4
/
BlackBox.cdr
/
bbs_door
/
wof45.arj
/
REGISTER.FRM
< prev
next >
Wrap
Text File
|
1992-03-17
|
4KB
|
63 lines
SUNRISE DOOR/UTILITY SOFTWARE REGISTRATION APPLICATION
______________________________________________________
SUNRISE DOOR SOFTWARE MAIL to: Al Lawrence
SUNRISE-80 BBS 604 BainBridge Drive
(404) 256-9525 HST 19.2 Atlanta, Ga 30327
____FIDO 1:133/604__________________________________________________
* FIRST and LAST NAME _____________________________________________
ADDRESS _____________________________________________
CITY, STATE, ZIP _________________________ ____ _________
VOICE TELEPHONE # _________________________
* YOUR BBS NAME _____________________________________________
Password for pre-registration on SUNRISE-80 _____________________
________________________________________________________
| CHECK the BOX(es) of the Door(s) you are registering. |
|________________________________________________________|
_ _
|_| Triple Yahtzee ($20)_____________ |_| Box Poker ($20)_____________
_ _
|_| Wheel of Fortune($20)_____________ |_| Over Under ($20)_____________
_ _
|_| Ladders Dice ($20)_____________ |_| Score Purge ($15)_____________
_ _
|_| Hiroll Dice ($20)_____________ |_| 3-Pair Poker ($20)_____________
_ _
|_| ( )_____________ |_| Monte Carlo ($20)_____________
_ _
|_| Adopt-a-Door ($10)_____________ |_| Word Search ($20)_____________
_ _
|_| Word Shuffle ($20)_____________ |_| PC-Yahtzee ($20)_____________
_ _
|_| Betsy Ross ($20)_____________ |_| Box Dice ($20)_____________
_ _
|_| Cryptograms ($20)_____________ |_| Rescue ($20)_____________
_ _
|_| Triangle ($20)_____________ |_| ( )_____________
_ _
|_| AutoConf ($20)_____________ |_| Match Maker ($25)_____________
_ _
|_| Sunrise TRIVIA ($20)_____________ |_| Baseball Dice($20)_____________
TOTAL Enclosed__________(U.S. FUNDS ONLY !!!!)
(Make Check/Money Order Payable to: Al Lawrence)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
CREDIT CARDS accepted either ONLINE (BBS) or MAIL (include Supplemental Form)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Please allow sufficient time for your letter to be received before calling
to pick up your registration #(s). Or supply me with a self-addressed
stamped envelope and receive registration number by return mail !!
* WARNING: THESE ITEMS MUST MATCH EXACTLY WITH THE WAY YOU HAVE
ENTERED THEM IN THE CONFIGURATION FILE. UPPER AND
LOWER CASE IS CRITICAL !!!!!
(03/17/92)
----------------------------- SUNRISE USE ONLY -----------------------------
Date Received __________________ Amt Received ____________