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Text File  |  1995-03-31  |  2.0 KB  |  63 lines
  1.  
  2.  
  3.                       PBNet Fido Style Scanner/Tosser for
  4.                            Powerboard 1.25a BBS
  5.  
  6.                             Registration Form
  7.  
  8.  
  9.         Name:           ____________________________________________
  10.  
  11.         Sysop name:     ____________________________________________
  12.                                 (exact spelling, please)
  13.  
  14.         Address:        ____________________________________________
  15.  
  16.                         ____________________________________________
  17.  
  18.         City/State:     ____________________________________________
  19.  
  20.         Country:        ______________________   Zip: ______________
  21.  
  22.         Voice phone:    (________)  _________ - ____________________
  23.  
  24.         BBS phone:      (________)  _________ - ____________________
  25.  
  26.         Networks:       ____________________________________________
  27.         (addresses)
  28.                         ____________________________________________
  29.  
  30.         Number of PBNet       copies   _________   at  $ 15.00 ea
  31.  
  32.         Ground mail key shipping                  add $  3.00
  33.         (default key mailing is by Fido/Internet/
  34.         /Rime/CIS... free... please provide address)
  35.  
  36.         Total enclosed                        $ ____________________
  37.  
  38.  
  39.         Where did you first learn about PBNet ?   __________________
  40.  
  41.         Where did you get your copy of PBNet ?    __________________
  42.  
  43.         Do you use Internet/Usenet/Rime/CIS ?     __________________
  44.  
  45.         What brand of machine are you using:      __________________
  46.  
  47.         CPU type (circle one):     8088    8086    286    386    486
  48.  
  49.         How fast, how much memory & disk:   ________________________
  50.  
  51.         Any suggestions and comments are welcome. Please feel free to
  52.         contact me at 1:250/642.1 or radu@io.org.
  53.  
  54.         Please make your cheque payable to:
  55.  
  56.                             Radu Hociung
  57.                          181 Barrington Ave.
  58.                        Toronto, Ontario. M4C 5N1
  59.                               CANADA
  60.  
  61.  
  62.  
  63.