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register.txt
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1993-09-19
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2KB
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56 lines
(This form is provided for your convenience; it isn't required)
Name: ____________________________________________________________
Address: _________________________________________________________
_________________________________________________________
_________________________________________________________
=====Fido Nodes Only=====
Fidonet Address: _________________________________________
Do you want to Freq the registration from 1:380/16? [ Y / N ]
Session Password: _________________________________________
==================================================================
Where you got FM: ______________________________ Version: ________
Preferred media: ___ 5-1/4" ___ 3-1/2"
_____ personal-use registration(s) X $35.00 ea. US
_____ commercial-use registration(s) X $75.00 ea. US
_____ shipping outside continental US X $ 5.00 ea. US
-------------
_____ total registrations $__________ US enclosed
Commments/Suggestions (include separate sheet if desired):
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Mail to: Mark Kimes
542 Merrick
Shreveport, LA USA 71104