Metropoli BBS
VIEWER: order.frm MODE: TEXT (CP437)
Compu-Doc Consulting has INSTANT ONLINE REGISTRATION! Get your registration 
immediately by using our Credit Card door. We Accept Visa / Master Card 
and many others! Call today, and type REGISTER at the main prompt. Your 
order will be processed immediately. 

FAX IT! You can now fax your credit card information to us and we will ship
your number back to either by fax, phone or mail...you choose! 
Our fax number is 804.468.1684

Random Access (Support Board), Virginia Beach, VA (804) 468-1783 (3 nodes)

-------------------------     PLEASE CUT HERE    ---------------------------

Mail to:                   Compu-Doc Consulting
                           1840 Haverhill Drive
                         Virginia Beach, Va, 23456
              Checks / Mo made payable to Compu-Doc Consulting 
┌────┬─────────────────────────────────────────────────────────────────────┐
│    │Name:                                                                │
│    │                                                                     │
│ P  ├─────────────────────────────────────────────────────────────────────┤
│ E  │Address:                                                             │
│ R  │                                                                     │
│ S  ├────────────────────────┬──────────────────────┬─────────────────────┤
│ O  │City:                   │ State:               │ Zip:                │
│ N  │                        │                      │                     │
│ A  ├────────────────────────┴───────┬──────────────┴─────────────────────┤
│ L  │VOICE PHONE:                    │  BBS Phone:                        │
│    │FAX NUMBER:                     │                                    │
│    ├────────────────────────────────┴────────────────────────────────────┤
│    │░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░▒▓█░│
└────┴─────────────────────────────────────────────────────────────────────┘
 
┌────┬─────────────────────────────────────────────────────────────────────┐
│    │BBS Name (Max 50 Characters)                                         │
│ B  │                                                                     │
│ B  ├─────────────────────────────────────────────────────────────────────┤
│ S  │Name for registration screen if not BBS name above                   │
│    │                                                                     │
│ I  ├──────────────────────────────────┬──────────────────────────────────┤
│ N  │BBS Software                      │  Version                         │
│ F  │                                  │                                  │
│ O  ├──────────────────────────────────┴──────────────────────────────────┤
│    │Version of AutoScribe Currently being Used                           │
│    │4.04                                                                 │
└────┴─────────────────────────────────────────────────────────────────────┘
 ┌───────────────────────────────────────────────────┬───────────────────┐
 │ AutoScribe                                        │        $ 44.50    │
 │                                                   ├───────────────────┤
 │ Total                                             │        $ 44.50    │
 └───────────────────────────────────────────────────┴───────────────────┘
 ┌───────────────────────────────────────────────────┬───────────────────┐
 │ Upgrades (For previously registered users)        │        $ 16.00    │
 │ (Must provide previous registration number:       ├───────────────────┤
 └───────────────────────────────────────────────────┴───────────────────┘
 ┌───────────────────────────────────────────────────┬───────────────────┐
 │ Office Use Only                                   │                   │
 └───────────────────────────────────────────────────┴───────────────────┘

       Support BBS (804) 468-1783/1492/1386 

       24 Hours  1200 - 56700 Baud (HST DUAL)

-----------------------------------------------------------------------------
FAX IT!

You can now fax your order information to (804) 468-1684, Your order will
processed the same day and sent back either by FAX (Leave a fax number!) 
or Mail!


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█   █▀█ █▀█ █▀█▀ █ ▀█ █▀    █   █   ▀     NO SURCHARGES!
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CHARGE MY ( ) Visa ( ) MasterCard ( ) Diners ( ) Carte Blanche ( ) AmerExp


Card # _____________________________  Exp Date _________________________


Name ________________________________________________

Address _____________________________________________

City ________________________  State ___________ ZipCode _______________

HomePhone (    ) ________________  WorkPhone (    ) ____________________


Signature ______________________________________________________________

All information above must match the Credit Card holders Name and billing
address. All fradeulent charges will be prosecuted to the FULLEST EXTENT
OF THE LAW.

This portion of the form must accompany the upper registration form.
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