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Text File  |  1996-02-28  |  3KB  |  57 lines
  1.                      +------------------------------------+
  2.    +-----------------|  Digital BBSList v1.5 Registration |-----------------+
  3.    |(Only 5 Dollars) +------------------------------------+ (Only 5 Dollars)|
  4.    |             for info:  email:  fburton@mail.bcpl.lib.md.us             |
  5.    +------------------------------------------------------------------------+
  6.  
  7.                    Mail to:
  8.                         Frank Burton III
  9.                         C/O Digital BBSList
  10.                         1539 Merritt Boulevard
  11.                         BOX #177
  12.                         Baltimore, MD  21222
  13.  
  14.             -+ IMPORTANT NOTE:  Not a P.O. Box; Put BOX #177 Only! +-
  15.  
  16.                         ( -  Registration is only $5  -  )
  17.           ( -  Make Checks/Money Orders payable to Frank Burton III  - )
  18.                             ( -  Do NOT send CASH!  - )
  19.  
  20.  +----------------------------------------------------------------------------+
  21.  |                                                                            |
  22.  | Real Name: [______________________________]                                |
  23.  |                                               (It will read Registered to: |
  24.  | Alias: [__________________________________]     xxxx.  Where xxxx=Alias)   |
  25.  |                                                                            |
  26.  | Address: [________________________________]  Apartment: [________________] |
  27.  |                                                                            |
  28.  | City/State/Zip: [________________________________________________________] |
  29.  |                                                                            |
  30.  | Voice Phone: [____________________________]  BBS Software: [_____________] |
  31.  |                                                                            |
  32.  | BBS Name: [_______________________________]  BBS Phone: [________________] |
  33.  +----------------------------------------------------------------------------+
  34.  
  35.  +----------------------------------------------------------------------------+
  36.  | Bug Reporting/Comments: __________________________________________________ |
  37.  |                                                                            |
  38.  | __________________________________________________________________________ |
  39.  |                                                                            |
  40.  | __________________________________________________________________________ |
  41.  +----------------------------------------------------------------------------+
  42.  
  43.  How would you like to receive your copy?  (Circle One)
  44.  
  45.  I'll call Digital Illusions              I will set up an account for Frank.
  46.  at 410-284-0970 and download             ALIAS: FRANK PW: BBSLIST PH: 284-0970
  47.  my copy.  Please set up an
  48.  account for:
  49.  ALIAS:                                   US Postal Mail (Include an additional
  50.  PW:                                      $3 for Postage/Floppy Disk Mailer).
  51.  
  52.  +----------------------------------------------------------------------------+
  53.  |       Registration is only $5.  Thanks for supporing Digital BBSList!      |
  54.  |                    Copyright (C) 1995 by Frank Burton III                  |
  55.  +----------------------------------------------------------------------------+
  56.  
  57.