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Text File  |  1993-03-13  |  3KB  |  112 lines
  1.  
  2.                     Shuttle to BBS Registration Form
  3.                 ---------------------------------------
  4.  
  5.  
  6. PLEASE PRINT CLEARLY
  7.  
  8.  NAME :                         
  9.             _____________________________________________________
  10.  
  11.  DOB :
  12.               (____/____/19_____)
  13.  
  14.  
  15.  ADDRESS :
  16.             _______     _________________________________________
  17.             Apt. #                Street
  18.              
  19.             ____________________________   _____    _______-_____
  20.                    City                    State         Zip
  21.                  
  22. REGISTRANTS
  23.  SIGNATURE :
  24.    
  25.               ___________________________________________________
  26.  
  27.  
  28. REGISTERED TO: __________________________________________________
  29.  
  30.  
  31. PHONE :
  32.         Voice (_____)_______-_________
  33.    
  34.          Data (_____)_______-_________  
  35.  
  36.           Fax (_____)________-________
  37.  
  38.  
  39. HOURS CAN BE REACHED: ___________________
  40. PLEASE SPECIFY TIME ZONE.
  41.  
  42. *****************************************************************
  43. ALL PRODUCT PAYMENTS MUST BE IN UNITED STATES DOLLARS. EITHER IN
  44. THE FORM OF A CHECK OR MONEY ORDER. ALL FOREIGN CUSTOMERS
  45. CALL ONE OF OUR SUPPORT SYSTEMS (SEE DOCS FOR LIST) ENTER A
  46. COMMENT TO THE SYSOP FOR MORE INFORMATION ON FOREIGN COPY.
  47. BBS LANGUAGE IS AMERICAN ENGLISH.
  48. *****************************************************************
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  59.  Cost :
  60.  
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  62.  
  63. UNITED STATES:
  64.         StoBBS................5.¼.(___)......@ $10.60 EACH+SHP.
  65.         StoBBS................3.½.(___)......@ $12.50 EACH+SHP.
  66.          ".........."..BOTH MEDIUMS..........@ $15.20 EACH+SHP.
  67.         Upgrade...............5.¼.(___)......@  $3.75 EACH+SHP.
  68.         Upgrade...............3.½.(___)......@  $5.00 EACH+SHP.
  69.           
  70.  Canadian:
  71.         StoBBS................5.¼.(___)......@ $15.00 EACH+SHP
  72.         StoBBS................3.½.(___)......@ $16.00 EACH+SHP
  73.          ".........."..BOTH MEDIUMS..........@ $19.00 EACH+SHP
  74.           Upgrade.............5.¼.(___)......@  $4.75 EACH+SHP.
  75.           Upgrade.............3.½.(___)......@  $6.00 EACH+SHP.
  76.    
  77. Foreign:
  78.          StoBBS................5.¼.(___)......@ $20.75 EACH+SHP
  79.          StoBBS................3.½.(___)......@ $23.85 EACH+SHP
  80.           ".........."..BOTH MEDIUMS..........@ $26.93 EACH+SHP
  81.          Upgrade...............5.¼.(___)......@  $5.75 EACH+SHP.
  82.          Upgrade...............3.½.(___)......@  $7.00 EACH+SHP.
  83.  
  84.  Shipment:
  85.         U.S. & CANADA..SNAIL..MAIL...........@ $ 3.00 * EACH
  86.         Foreign Shipment Cost.....(___)......@ $ 5.00 * EACH
  87.                   
  88.  Included :     Payment of  $ _________
  89.                 Money Order (___)
  90.                 Check       (___)          
  91.      
  92. %% NOTE %% Please address checks or money orders to 
  93.                 Steven P. Lewkowicz
  94.  
  95. MAIL TO:   Stephan Lewkowicz  :*!*  
  96.            METHOD TIMESTUDY COORD
  97.            Bridgeport Machines Incorporated
  98.            P.O. Box 32
  99.            Bridgeport, CT 06601
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