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──────────═════════φ Registration φ══════════────────────
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Name:.................... Date:.................
Voice #:.................... BBS #:.................
Address:.................... Country:.................
State:.................... City:.................
Zip Code:.................... Version #:.................
^
Board Name:.................... (Must Give Version)
(-Payment Plan-)
( ) Cash.
( ) Check.
(-Send-)
( ) Registration Code In The Mail. $2.00 Registration + $2.00 Shipping.
( ) Registration Code In E-Mail. $2.00 Registration + $1.50 For Email.
Total:.................
<<<Thank You>>>
<<<Programmed By Mark Harmon>>>
Mail To:
Mark Harmon
15418 Diana Lane
Houston,Texas
77062