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Text File  |  1993-03-23  |  1KB  |  36 lines

  1.  
  2.          QWKNET v1.2                                      REGISTRATION FORM
  3.          ------------------------------------------------------------------
  4.           Send to: Keith Yox, 7272 Rawlins Square, Indianapolis, IN  46260
  5.          ------------------------------------------------------------------
  6.  
  7.          Registration ................................. @ $5 ea $________
  8.  
  9.          Check or money order payments accepted. Please do not send cash.
  10.          -----------------------------------------------------------------
  11.  
  12.  
  13.         Name     ___________________________________________________________
  14.  
  15.         Company  ___________________________________________________________
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  17.         Address  ___________________________________________________________
  18.  
  19.                  ___________________________________________________________
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  21.                  ___________________________________________________________
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  24.         Comments __________________________________________________________
  25.                
  26.                  __________________________________________________________
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  28.  
  29.         BBS name ________________________________Software type_____________
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  31.         BBS phone__________________________________________________________
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  34.           
  35.                               Thank you for registering!
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