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Text File  |  1997-06-05  |  1KB  |  27 lines
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  2.                Ol'Scruff's Bar & Grill v.2.00 ORDER FORM                        
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  4. (Please fill out this form and send it along with a check or money order  
  5. for FIVE DOLLARS!. $5.00 US currency.
  6.  
  7.          YOUR NAME : _______________________________   (AS SHOULD APPEAR IN
  8.                                                         REGISTRATION)      
  9.     POSTAL ADDRESS : ______________________________________________________
  10.  
  11.                      ______________________________________________________
  12.  
  13. VOICE PHONE NUMBER : ______________________                                
  14.                                                                            
  15.   FIDO ADDRESSES :   ____________________________________   (IF APPLICABLE)
  16.  
  17.  
  18.  
  19. I AGREE TO THE REGISTRATION TERMS,           ____________________________
  20. SET FORTH IN OBSOW.DOC                                (SIGNATURE)
  21.  
  22. MAKE CHECKS  PAYABLE TO:   CARL GOAD
  23.                            118 JFEFFERSON DRIVE                        
  24.                            COLUMBIA, TN 38401
  25.  
  26.                            USA
  27.