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Text File  |  1993-05-21  |  2KB  |  56 lines
  1.  
  2. Registration Form:
  3.  
  4.     P R I M E   B A S E   D O O R   R E G I S T R A T I O N   F O R M
  5.  
  6.    TO:  William Rountree                           Date___/___/___
  7.         7806 Lisa DR.
  8.         Apt # 203        
  9.         Norfolk, VA. 23518
  10.         804-587-3082 (Voice)
  11.  
  12.        (Please use capitalization and punctuation where necessary.)
  13.  
  14.  FROM:  SysOp Name: _______________________________________________
  15.  
  16.         BBS Name: _________________________________________________
  17.  
  18.         Address: __________________________________________________
  19.  
  20.         City: ______________________ State: __________ ZIP: _______
  21.  
  22.         Voice: (   ) _________________ BBS: (   ) _________________
  23.  
  24.         BBS Software: _____________________ BBS Hours: ____________
  25.  
  26.         Baud Rates:________________________
  27.  
  28. SOFTWARE                          VERSION                  PRICE      
  29. --------                          -------                  -----
  30.                                                     Before 1 June 93, After
  31.  
  32. Adventurer's Maze.................. 1.60................. $15.00......20.00 
  33.  
  34. Murder Mansion......................1.70................. $15.00......20.00
  35.  
  36. Space Race..........................1.30................. $15.00......20.00
  37.  
  38.                                                            _____
  39.  
  40. Total                                                    $______
  41.  
  42.                            F E E D B A C K
  43.                            ---------------
  44.  
  45.  I learned of: ADVENTURER'S MAZE, MURDER MANSION, SPACE RACE from:
  46.  
  47.            [  ] - A Friend         [  ] - Computer Club
  48.            [  ] - BBS              [  ] - Compuserve
  49.            [  ] - GEnie            [  ] - Other
  50.  
  51.  COMMENTS: _____________________________________________________
  52.  _______________________________________________________________
  53.  _______________________________________________________________
  54.  _______________________________________________________________
  55.  _______________________________________________________________
  56.