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Text File  |  1995-01-29  |  2KB  |  58 lines
  1.                                  -----------
  2.                               -=| 4-CORNERS |=-
  3.                                  -----------
  4.                     -----------------------------------
  5.                  -=| R E G I S T R A T I O N   F O R M |=-
  6.                     -----------------------------------
  7.                     
  8.  
  9.         Name:           _____________________________________________
  10.  
  11.         Address:        _____________________________________________
  12.  
  13.         City:           _____________________________________________
  14.  
  15.         State:          _____________________________________________
  16.  
  17.         Zipcode:        _____________________________________________
  18.  
  19.         Home Phone:     _____________________________________________
  20.  
  21.         BBS Phone:      _____________________________________________
  22.         
  23.         BBS Name:       _____________________________________________
  24.                                       max 55 characters
  25.  
  26.         SysOp Name:     _____________________________________________
  27.                                       max 55 characters
  28.  
  29.         
  30.         Register Under: [  ] BBS Name   [  ] SysOp Name
  31.         
  32.        
  33.         [  ] 4-Corners Door Game v1.00          $10.00        $  10.00
  34.  
  35.         [  ] U.S. Mail                          $ 2.00        $ _______
  36.         
  37.         [  ] WILL CALL on my BBS                $ 0.00        $ _______
  38.  
  39.                                             TOTAL ENCLOSED    $ _______ 
  40.  
  41.  
  42.        If you want to WILL CALL your .KEY file here on The Mentor
  43.        Connection, provide your FIRST and LAST NAME and the PASSWORD
  44.        you want to use here.
  45.  
  46.  
  47.       Mail to:          TomTron Software Development
  48.                         c/o Thomas Burker Sr.
  49.                         7109 West Jefferson Drive
  50.                         Mentor, Ohio  44060
  51.  
  52.                         The Mentor Connection BBS
  53.                         Public Node (216)942-3762
  54.                         8N1 - ANSI - RIP
  55.                         2400-14.4 Baud
  56.                         24 hours
  57.                         Comment to SysOp without validation available!
  58.