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REGISTER.FRM
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1993-11-06
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WildChat(tm) Registration Form
------------------------------
Registration fees: $20... Shipping/Handling: $5...
INTERNATIONAL ORDERS... Shipping/Handling: $10...
Orders from outside the U.S. must be paid with a money order in U.S.
funds OR a check in U.S. funds drawn on a U.S. bank ONLY.
Mail Registration, and make checks out to:
PC Professionals
909 Turner Street
Wausau, WI 54403
If you want WildChat mailed to you on a diskette, include the
shipping and handling fee with your registration. Otherwise,
you will need to download WildChat and your key file from Pulp Culture
Online Service.
Logon Instructions:
Call Pulp Culture BBS Node #3 at (715) 845-2025, which uses
a Practical Peripherals 14,400 BPS Modem. Once you have
connected, log on as a new user. Then leave a message to
Damien Sweeney (Dissident) - SysOp - that informs him that
you are here to download your registered version of WildChat.
When I recieve your message, he will attach your personal
registered version to a message that is addressed to you.
Call back a day after you notified me, and your registered
version should be ready for you to download (if we have received
payment). Registered users of Wildchat will be granted full
access to Pulp Culture Online Service.
PLEASE!!! You MUST fill out all of the information below. This will help
us evaluate our users so that we may better develop WildChat for you in the
future!
First Name: __________________________________________________
Last Name : __________________________________________________
WildChat displays the SysOp and BBS name when exiting, please
specify the name you would like to appear. BUT... If you use an
alias on your BBS, and would like it to appear instead please specify it here...
Alias: ______________________________________________________________________
Street Address: _____________________________________________________________
City: _______________________________________________________________________
State: __________________ Zip Code: ____________________
Phone (Day/Work): (_____) ___________________
Phone (Home/Night): (_____) ___________________
BBS Name: ___________________________________________________________________
BBS Phone Number: ___________________________________________
Diskette Media Preferred: [ ] 3.5" 1.44M [ ] 5.25" 1.2M
Number of BBS Nodes: __________ Number of BBS phone lines: __________
WILDCAT! version & registration number: _____________________________________
Multi-tasking software used: _________________________ Version #: ___________
Networking software used: ____________________________ Version #: ___________
Do you use the Digiboard? ___________________________________________________
Whats you dog's favorite color? _____________________________________________
Notes/comments: _____________________________________________________________
_____________________________________________________________________________
What features would you like to see in the future?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________