To register your system so that it may appear in the Empire systems list,
and to receive news of the latest Empire releases, please fill out this
form and mail it to the address below. Please add any additonal info to
the back of the form.

       Name:_______________________    Phone:______________________

    Address:_______________________

 City/State:_______________________

        ZIP:___________

    Country:___________

System Name:_________________________________________

System Number:____________________________

Fee Charged:___         if Yes, explain fee system
                        used:
                        __________________________
                        __________________________
                        __________________________
                        __________________________
                        __________________________
                        __________________________

Type of System:
               o Open (Users can add themselves)
               o Request (Users must ( )write or ( )call for access)
               o Closed (only members of some group etc.)

Creation Password:_________________(If users can add themselves)

Computer type:                 System RAM:             Disk Storage:
               o Amiga 500             o 512k                  o 1 Floppy
               o Amiga 1000            o 1 meg                 o 2 Floppies
               o Amiga 2000            o 2 meg                 o Hard Drive
               o Amiga 2500            o 4 or more meg           (Size:____)
               o Amiga 3000

Baud Rate:
               o300    o 4800
               o1200   o 9600              Number of lines:_____
               o2400   o Other _________

Established:_________ (When system went up)

Version of Empire used:   versions by Chris Gray   1.0 1.3 2.0
                          versions by David Wright 1.1w 1.2w 1.3w 1.33w 2.1w
                              Other______


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Send this form to:

               David Wright
               4262 Bennington
               Brunswick,  OH
               44212
               USA