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Text File  |  1994-10-06  |  1KB  |  60 lines
  1.  
  2. Yes, I want to register FDREQ and here is my information:
  3.  
  4.  
  5.         My Name:         ______________________________
  6.  
  7.         Important! Please use your full real name! The
  8.         Key will be generated for this name.
  9.  
  10.  
  11.         My system's name ______________________________
  12.  
  13.         Nodenumber:      ______________________________
  14.  
  15.         Address:         ______________________________
  16.  
  17.                          ______________________________
  18.  
  19.                          ______________________________
  20.  
  21.                          ______________________________
  22.  
  23.         Tel. Voice       ______________________________
  24.  
  25.         Tel. BBS         ______________________________
  26.  
  27.  
  28.  
  29.         I want to register:
  30.  
  31.         [  ]  FDREQ Node licence
  32.  
  33.         [  ]  FDREQ/C licence
  34.  
  35.  
  36.         I payed by check: [ ]
  37.         I payed by T/T  : [ ]
  38.         I payed cash    : [ ]
  39.  
  40.  
  41.  
  42.         My comments and wishes for upcoming versions:
  43.  
  44.  
  45.         ____________________________________________________
  46.  
  47.         ____________________________________________________
  48.  
  49.         ____________________________________________________
  50.  
  51.         ____________________________________________________
  52.  
  53.         ____________________________________________________
  54.  
  55.         ____________________________________________________
  56.  
  57.         ____________________________________________________
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