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Text File  |  1994-08-15  |  2KB  |  63 lines
  1.                               REGISTRATION FORM
  2.                               paKet version 6.1
  3.  
  4.   Name___________________________________________________________________
  5.  
  6.   Call Sign_____________________Home BBS for Packet Mail_________________
  7.  
  8.   Address________________________________________________________________
  9.  
  10.          ________________________________________________________________
  11.  
  12.   Type of TNC____________________________________________________________
  13.  
  14.   Diskette Type:    360KB [ ]    1.2MB [ ]     720KB [ ]   1.44MB [ ]
  15.                            (5.25 inch)                (3.5 inch)
  16.  
  17.   Where did you get paKet (optional)?
  18.  
  19.   BBS?    _______________________________________________________________
  20.  
  21.   Friend? _______________________________________________________________
  22.  
  23.  
  24.   Comments_______________________________________________________________
  25.  
  26.   _______________________________________________________________________
  27.  
  28.   _______________________________________________________________________
  29.  
  30.   _______________________________________________________________________
  31.  
  32.   _______________________________________________________________________
  33.  
  34.   _______________________________________________________________________
  35.  
  36.   _______________________________________________________________________
  37.  
  38.   _______________________________________________________________________
  39.  
  40.   _______________________________________________________________________
  41.  
  42.   _______________________________________________________________________
  43.  
  44.   _______________________________________________________________________
  45.  
  46.  
  47.   -----------------------------------------------------------------------
  48.   Make cheques (checks) payable to:
  49.   Essex Packet Shareware
  50.  
  51.   Address:
  52.   89 Tyefields, Pitsea, Basildon, Essex, SS13 1JA.       
  53.   -----------------------------------------------------------------------
  54.  
  55.   Payment:(mark or circle one):
  56.        [ ] Cheque      [ ] Money Order      [ ] Cash
  57.  
  58.    Cheque Number_________________________________________Amount £  16.00 _
  59.  
  60.    Signature ______________________________ 
  61.  
  62.               Please Send me your Latest Shareware List [ ]
  63.