
			    REGISTRATION FORM

BBS Name______________________________ SysOp Name______________________________

Type of BBS Software___________________ Version_________Reg. #_________________

BBS Phone Number (____)_____-_________Voice Phone (____)____-__________

What is your mailing address?__________________________________________________

City________________________________State______________Zip_____________________

Where did you hear about the GACQ line of Doorware?____________________________

_______________________________________________________________________________

		What game(s) are you registering?

	{ } Acey Duecy            ($20.00)      { } Hiro Mania    ($20.00)
	{ } Flip Out              ($20.00)      { } Treasure Hunt ($20.00)
	{ } Stretch Your Neck Out ($20.00)      { } TheDice       ($20.00)
	{ } Moon Shot             ($20.00)      { } AppendIt      ($ 5.00)

				 ****Note****

	 California Residents please include 8.25% State Sales Tax!

			Software Cost Totals $_______________

			Tax................. $_______________

			Total Enclosed...... $________________


What would you like to see in a door game?_____________________________________

_______________________________________________________________________________

What custom utilities would you like to have?__________________________________

_______________________________________________________________________________

Would you like a Tournament Door (multiple door games chosen at random by the

computer)?_____________________If YES what types of games would you prefer in

the Tournament door (there will be no ShareWare releases of a Tournament Door,

as all versions in the door will be registered for the tournament!)____________

_______________________________________________________________________________

Comments______________________________________________________________________                        

Questions____________________________________________________________________

				
			Mail To:	Lonnie VonHoldt
					P.O. Box 229
					Victorville, Ca. 92393
				

