                       Hack & Slash Registration Form


        NAME: ___________________________________________________

        ADDRESS: _____________________________________

                 _____________________________________

                 _____________________________________


        COUNTRY: ________________________

        FIDONET ADDRESS: __:___/___.__

        BBS NAME:______________________________

        BBS SOFTWARE:__________________________

        Money sent via: (check one)

         All checks to be made payable to Mark Montminy

        o   Postal money order ($20 US dollars)

        o   Cash in US bills($20)
            (If you are sending cash, please send via registered mail so you
             have proof of receipt)

        o   Personal check drawn from a US bank for $20.
            (Note: Personal checks will take additional time for clearance.
                   Keys will not be sent until the check has cleared.  Any
                   fees incurred due to bounced checks will require payment
                   of that fee + the $20 registration before any key will
                   be issued.  Personal checks CANNOT be cashed if drawn
                   from a foreign bank.)

        Total amount sent: ____

        Please check the way you want to receive the key-file:

        o   Please attach the file to a private message at The Bloom Beacon,
            (401)751-3831, so I can call there and log in and get it.

               Password to use on system: _________________
               (if you do not have an account, one will be created in
                your name with the above password)

        o   Please fix it so I can "poll" The Bloom Beacon and receive it that
            way.

        o   Please netmail my keyfile to: 1:___/____
            (US/Canadian Fidonet nodes only)

        o   Please send me a disk with the key-file and the latest versions
            of your utilities.




--------------------------------8< CUT >8-------------------------------------
        Send to:
         
         Mark Montminy
         39F Dale Ave.
         Johnston, RI
         USA      02919

