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REG_US.DOC
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1996-12-21
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2KB
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81 lines
ARROWBRIDGE v1.30
NORTH AMERICAN REGISTRATION FORM
-----------------------------
(Please Print)
Registered to:___________________________________________ E-MAIL ________
(BBS Name or User Name if for private use)
First Name :____________________ Last Name:______________________________
(User Name - MUST be completed)
Address:_______________________________________________________________
City:____________________________ State:___ Zip Code:_______Country_______
Home Phone: ( )____-______ Fax Number: ( )____-______
Cost For Registering Arrowbridge I (For BBS or Private Registrations only)
----------------------------------
$ 14.00 in U.S. funds OR $ 19.00 in CANADIAN funds
(payable by bank draft, money order or credit card)
Please register your copy of Arrowbridge with FIREBURNERS BBS. Make bank
drafts, cheques or money orders payable to "Fireburners BBS Online, inc."
CREDIT CARD ORDERS:
-------------------
Fill out your credit card information and mail this
form to the address listed below.
Type of Credit Card: MasterCard VISA AMEX DISCOVER
(Circle one)
Credit Card Number : _____________________________________
Expiration Date : _________
Name as it appears on card: _____________________________________
Signature : ____________________________
(not necessary for Crash Mailed forms)
_______________________________________________________________________________
CHECKS & POSTAL ORDERS
All checks and postal orders should be made out to "FireBurners BBS Online, Inc."
FireBurners BBS Online
154 N.E. 4th St
Toledo, Oregon 97391
You may also register online by Credit Card by calling FireBurners BBS Online at 541-336-4538.
Enter "O" at the Main Menu.
ORDERS BY FAX
Please fax this form with your Credit Card Information to 541-336-4708.
Your registration code will be sent back to you via fax.
_____________________________________________________________________________