home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
ftp.wwiv.com
/
ftp.wwiv.com.zip
/
ftp.wwiv.com
/
pub
/
DOOR
/
DBMV72.ZIP
/
DBM.REG
< prev
next >
Wrap
Text File
|
1995-10-21
|
3KB
|
69 lines
Dragon's Breath Mountain -- Registration Form
-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
Name : ______________________________ Age: ___ (optional)
Alias : ______________________________
Address: ___________________________________________________________
City : _______________________ Province or State: ___
Zip: _ _ _ -_ _ _ (Canada) Or _ _ _ _ _ - _ _ _ _ (U.S.)
BBS Name: ___________________________ BBS Software: _________________
BBS Phone Number: (___)____-_______ Max baud rate: _______
Home Phone Number: (___)____-_______ More then one phone line? [ ]
FidoNet Address: __________________________________________________
Please Check One Option!
-=================================================================-
CDN/US
I want my registeration number emailed to me! (FidoNet) : [ ] $5
(Only in Canada and United States)
I want my registration number Uploaded to The Planet BBS! : [ ] $5
You will be pre-registered with your information above on
*MY* BBS, The Planet BBS (ph# in DBM.DOC).
Password you wish to use: _____________ (Make up a Password)
I want my registration number mailed to me (Snail-Mail) : [ ] $5
Amount of money enclosed for this order - [ ] CDN Funds :
[ ] US Funds : _______
-=================================================================-
Any Comments/Suggestions that you'd like to make about DBM :
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
+-- OFFICIAL USE ONLY ------------------------------------------------------+
| |
| Date : _________ S.N. : _______ Reg. Code : ___________________________ |
+---------------------------------------------------------------------------+
Send this form with your Canadian/American funds check or money order to:
Ricky Friesen
2202 27 Ave S
Lethbridge, Alberta
T1K 6K4
CANADA
-=========================================================================-
Please make sure that the check or money order is payable to Ricky Friesen!
-=========================================================================-