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ORDER.FRM
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1994-07-05
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6KB
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152 lines
D R E A M W A R E C O M M . R E G I S T R A T I O N F O R M
TO: DreamWARE Comm. Date___/___/___
R14 Box 518
Bedford, IN 47421
(Any form of payment can be processed here)
or
DreamWARE Comm.
8466 N. Lockwood Ridge Rd
Suite 122
Sarasota, FL 34243
(Money Orders and Credit Cards only can be processed here)
(Please use capitalization and punctuation where necessary.)
FROM: SysOp Name: _______________________________________________
BBS Name: _________________________________________________
Address: __________________________________________________
City: ______________________ State: __________ ZIP: _______
Voice: ( ) _________________ BBS: ( ) _________________
BBS Software: _____________________ BBS Hours: ____________
Baud Rates:________________________
DreamWARE can now accept Credit Cards (VISA, MasterCard, American
Express, JCB and Optima) A 10% credit card processing fee is
added to all credit card orders.
Your card's statement will read the charge to the following company:
Dragon Business Services, INC.
SOFTWARE VERSION PRICE
-------- ------- -----
Acey Deucy ........................ 1.3 ................. $10.00 __
Adopt Me! ......................... 1.3 ................. $10.00 __
Announce! ......................... 1.1 ................. $10.00 __
BattleShip ........................ 1.3 ................. $10.00 __
Card Sharks ....................... 1.3 ................. $10.00 __
DreamCHAT ......................... 1.4 ................. $10.00 __
DreamDOWN ......................... 1.1 ................. $10.00 __
DreamLIST ......................... 1.4 ................. $10.00 __
DreamLOG .......................... 1.3 ................. $10.00 __
DreamMATCH ........................ 1.3 ................. $10.00 __
DreamORDER ........................ 1.7 ................. $10.00 __
DreamSLOTS ........................ 1.5 ................. $10.00 __
Othello ........................... 1.2 ................. $10.00 __
PressIT ........................... 1.0 ................. $10.00 __
All 14 doors above $80.00 __
Free Doors/Utils....
DreamALIAS ........................ 1.1 ................. $00.00 __
DreamASCII ........................ 1.0 ................. $00.00 __
DreamRANDOM ....................... 1.0 ................. $00.00 __
WWIV2GAP .......................... 1.1 ................. $00.00 __
DreamSTRIP ........................ 1.0 ................. $00.00 __
(Current versions as of (07-05-94)
Subtotal A $______
Delivery Method.....
Please Email my keyfile(s) through WWIVnet, ICEnet,
or ImagiNet.(UUE'd) My address:_____________________ $00.00 __
Please mail my keyfile(s) to me $00.00 __
Please mail all above unregistered programs to me $ 5.00 __
(All above pgms are sent FREE with order) Only check
this to receive all pgms when NOT registering a door.
(To cover disks and shipping)
Disk __ 3.5DD __3.5HD __ 5.25DD __3.5HD
Subtotal B $______
Subtotal A $______
+ Subtotal B $______
= Total $______
+ 10% processing fee
for Credit Cards ONLY! $______
= Credit Card Total $______
Payment Method:
Money Order ___
Personal Check ___
Cashier/Bank Check ___
Credit Card ___
Other ___
If other, please explain _____________________________________________
-------------------------- Credit Card Info ------------------------------
Credit Card Information:
Credit Card Type : VISA ___ MasterCard ___ Optima ___
American Express ___ JCB ___
Credit Card Number ________________________________________
Name on Credit Card ________________________________________
Expiration Date ________________________________________
----------------------- End Credit Card Info -----------------------------
F E E D B A C K
---------------
I learned of this Door from:
[ ] - A Friend [ ] - Computer Club
[ ] - BBS [ ] - Compuserve
[ ] - GEnie [ ] - Other
COMMENTS: _____________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
THANK YOU FOR YOUR REGISTRATION!!!!!!