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EZYREG.US
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2003-02-22
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Ezycom V2.00 Registration Form
Ezycom United States/Canada
Shareware/Commercial
This registration form is for International Money Orders
only. Payments must be made in US Dollars.
Please complete in full to avoid delays in receiving
the registration key.
Note: One Registration Per Form.
Ezycom Registration
c/o Patrick Vittori
PO Box 1137
QUARTZSITE AZ 85346
USA
The Shaman's Inn
(Fido: 1:114/635)
(Data: 1-928-927-6452)
Please make money orders payable to: Patrick Vittori
------------------------------- cut here ---------------------------------
Ezycom V2.00 Registration Form
___________________________________________________________
[Sysop Name]
(This MUST match the sysop name that appears in EZYCFG)
___________________________________________________________
[Your Name/Business Name]
___________________________________________________________
___________________________________________________________
___________________________________________________________
[Postal Address]
___________________________________________________________
[BBS Name]
___________________________________________________________
[BBS Phone Number] Eg: 1-123-123-1234 or 12-3-123-1234
___________________________________________________________
[Voice Phone Number] Eg: 1-123-123-1234 or 12-3-123-1234
___________________________________________________________
[Network Names and Addresses] Eg. Fido 1:114/635
___________________________________________________________
[Maximum Baud Rate(s)] [Hours of Operation] Eg 2400 24Hrs
[ ] Ezycom (Shareware) $65US
[ ] Ezycom Package (Commercial) $200US
(Cross Appropriate Box)
___________________________________________________________
[Amount Enclosed (US Dollars)]