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Text File  |  1994-06-30  |  1KB  |  43 lines
  1.  
  2.                              REGISTRATION FORM
  3.  
  4.                      Program: Shut Up And Run The Mail
  5.  
  6. (Enter information EXACTLY the way you want it, including punctuation and
  7.  capitalization.)
  8.  
  9.  
  10. NAME: ____________________________________________________________________
  11.  
  12. ADDRESS: _________________________________________________________________
  13.  
  14. CITY:________________________________ STATE/PROVINCE: ____________________
  15.  
  16. ZIP/POST CODE: ______________________ APT./BOX NUMBER: ___________________
  17.  
  18.  
  19. BBS NAME: ________________________________________________________________
  20.  
  21. SYSOP NAME: _________________________ PHONE NUMBER: ______________________
  22.  
  23. FIDONET ADDRESS (IF ANY): ________________________________________________
  24.  
  25. INTERNET ADDRESS (IF ANY): _______________________________________________
  26.  
  27. COMPUSERVE ADDRESS (IF ANY): _____________________________________________
  28.  
  29.  
  30. NOTES/COMMENTS: __________________________________________________________
  31.  
  32. __________________________________________________________________________
  33.  
  34. __________________________________________________________________________
  35.  
  36. __________________________________________________________________________
  37.  
  38. Send with $30.00 (US) registration fee to:
  39.  
  40. MICHAEL E. NELSON
  41. 1349 ROOSEVELT BLVD.
  42. VINELAND, NJ  08360-6590
  43.