NEWFLAG.PPE Registration Form.

To Register NEWFLAG.PPE, please fill out this form and send it along with
$10.00 (Check or Money Order) to:

Mukunda Modell
P.O. BOX 405
Squires, MO. 65755

(Make Check payable to Mukunda Modell).

You will recieve your registration code as soon as possible.

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Sysop Name/Alias:______________________   BBS Name:_________________________

BBS Phone Number:______________________   FidoNet Address:__________________

Internet Address:______________________   Snail Mail:_______________________

City:_____________   State:_________  Zip:_________  Country:_______________
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