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REGINFO.FRM
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1997-05-14
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Dating v1.0 Registration Request
Name: _________________________________________________
Address: ______________________________________________
City: ______________________________ State: _________ Zip: _____________
Voice Phone: _______________________
BBS Name: __________________________
BBS Phone: _________________________
Internet Address: ________________________________
Registered Name: _________________________________
Falken Serial Number: ____________________________
*** All registration key's will be sent to your respective BBS ***
Please send a copy of this registration request and $10 <money
order or check please. Send cash at YOUR OWN RISK> to:
Chris Whitacre
P.O. Box 1703
Hanford, CA 93232-1703