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Text File  |  1995-02-12  |  1.2 KB  |  40 lines
  1.                  ARROWBRIDGE V1.10
  2.                               ASIAN REGISTRATION FORM
  3.                               -----------------------
  4.                   (Please Print)
  5.  
  6.  Registered to:___________________________________________ FIDO _:____/____
  7.  (BBS Name)                                                (if applicable)
  8.  
  9.  First Name :____________________ Last Name:_______________________________
  10.  (Sysop Name)
  11.  
  12.  Address:__________________________________________________________________
  13.  
  14.  
  15.  Suburb or City:____________________________ State:____ Postal Code:_______
  16.  
  17.  
  18.  Country:__________________________ Home Phone: (     )____________________
  19.  
  20.  
  21.  
  22.    COST PER COPY : $40 SIN
  23.    ~~~~~~~~~~~~~~~~~~~~~~~
  24.  
  25.  
  26.       Signature                 : ____________________________
  27.                   
  28.  
  29.  
  30.       All cheques and postal orders should be made out to Wong Quek Chew
  31.       and in Singapore dollars only.
  32.  
  33. ----------------------------------------------------------------------------
  34.    SEND TO:  Wong Quek Chew
  35.              Blk 124,
  36.              Geylang East Ave 1
  37.              #03-59
  38.              Singapore 1438
  39. ----------------------------------------------------------------------------
  40.