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Text File  |  1993-01-17  |  2KB  |  52 lines
  1.  
  2.                           PRFP Registration Form
  3.                           ---- ------------ ----
  4.  
  5.     Name _________________________________________________________________
  6.  
  7. BBS Name _________________________________________________________________
  8.  
  9. BBS Phone Number _________________________________________________________
  10.  
  11. FidoNet Address (If Applicable) __________________________________________
  12.  
  13.  Address _________________________________________________________________
  14.  
  15.          _________________________________________________________________
  16.  
  17.          _________________________________________________________________
  18.  
  19. Voice Phone ________________________
  20.  
  21. Version of PRFP Registering ______________
  22.  
  23. ______ Registration(s) of PRFP @  ?.?? ea                        $  _________
  24.  
  25.                                                           Total  $  _________
  26.  
  27.       Type of PC Used ________________________________  DOS Version _________
  28.  
  29.       Hardware Configuration ________________________________________________
  30.  
  31.       What Resident Software Do You Run _____________________________________
  32.  
  33.       _______________________________________________________________________
  34.  
  35.       _______________________________________________________________________
  36.  
  37.       BBS Software and version ______________________________________________
  38.  
  39.       Comments and Suggestions ______________________________________________
  40.  
  41.       _______________________________________________________________________
  42.  
  43.       _______________________________________________________________________
  44.  
  45.       _______________________________________________________________________
  46.  
  47. Check or money order should be made payable (in US$) to:
  48.  
  49.        Bert Edens
  50.        109 North West End
  51.        Springdale, Arkansas, USA 72764
  52.