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REGISTER.FRM
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1995-01-28
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2KB
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55 lines
Registration Form For THDC Tune
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Name : ______________________________ Age: ___
Handle: ______________________________
Address: ___________________________________________________________
City : _______________________
State or Province: ___
Zip: _ _ _ _ _ - _ _ _ _ Or _ _ _ -_ _ _ (Canada)
BBS Name: ___________________________ BBS Software: _________________
BBS Phone Number: (___)____-_______ Max baud rate: __.___
Additional lines:
BBS Phone Number: (___)____-_______ Max baud rate: __.___
BBS Phone Number: (___)____-_______ Max baud rate: __.___
BBS Phone Number: (___)____-_______ Max baud rate: __.___
Home Phone Number: (___)____-______ Multi_node? [ ] Yes!
I want THDTUNE Registered ($5) : [ ] Yes!
Subtotal ................................................. : $____
Amount of money inclosed for this order (U.S Currency!) : $____
Comments / Suggestions :
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Send this form with your U.S. funds check or money order to:
Cory Arnold <--(Make check out to this name!)
16950 Neon St Nw
Ramsey, MN 55303