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  1.                             HartSoft Productions
  2.  
  3.                       The Polling Place Registration Form      
  4.                          
  5.           
  6.           Your BBS Name:________________________________________
  7.  
  8.           Voice Phone Number:___________________________________
  9.  
  10.           BBS Phone Number(s):__________________________________
  11.  
  12.           Your Name:____________________________________________
  13.  
  14.           BBS Name as it appears
  15.           in DORINFOx.DEF:______________________________________
  16.  
  17.           Sysop Name as it appears
  18.           in DORINFOx.DEF:______________________________________
  19.  
  20.           Mailing Address:______________________________________
  21.  
  22.                           ______________________________________
  23.  
  24.                           ______________________________________
  25.  
  26.           Network Name
  27.           and Address:__________________________________________
  28.  
  29.           BBS Software:_________________________________________
  30.  
  31.           Mailer Software:______________________________________
  32.  
  33.           Echo Mail Software:___________________________________
  34.           
  35.           File Echo Software:___________________________________
  36.           
  37.           Type Of Computer:_____________________________________
  38.  
  39.           Max Baud Rate/ModemType:______________________________
  40.  
  41.           Fossil Driver:______________       Locked fossil? ____
  42.  
  43.           Comment/Suggestions :
  44.                           ____________________________________________
  45.  
  46.                           ____________________________________________
  47.  
  48.           Would you like to be informed of major upgrades (Y/N) : Y
  49.  
  50.           If you do not have a valid FidoNet Address, pleaseset up an 
  51.           account on your bbs so we may log on and upload your key(s)
  52.  
  53.           Please log onto my bbs (Y/N) : ___
  54.  
  55.                                   Name : _________________________________
  56.  
  57.                                   Pwd  : _________________________________
  58.  
  59.  
  60.  
  61.           Registration is $10.00, and all future upgrades will be free of 
  62.           charge. Please send a cashiers or personal check made out to:
  63.              Chris Hartung
  64.              10641 Hollywood Blvd
  65.              Coon Rapids, Mn. 55433-3853
  66.           
  67.            All registrations paid via cashiers check will be sent out 
  68.            immediately, all others will be sent out as soon as the 
  69.            check has cleared.
  70.  
  71.  
  72.            Thank you very much for your registration, 
  73.  
  74.            Chris Hartung
  75.            HartSoft Productions
  76.  
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