[ CDor BullDraw Registration Form ]

Your Name....:

Your BBS Name:

Your Address.:



Comments.....:



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I'll prelog you on my BBS if you provide the following information:

LOGON Name...........................:

Your BIRTHDATE (MM/DD/YY)............:

Your VOICE Phone (999-999-9999)......:

Your DATA (BBS) Phone (999-999-9999).:

PASSWORD you wish to use.............:

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License for CDor BullDraw                                            $15.00
To collect your registered key file, please call (505)763-5129,
Green Acres! BBS.  After your check clears, I'll post your key
in a personal message to you for easy downloading.

If you want a disk mailed to you, please enclose an additional
$5.00 for disk, mailer, shipping, and handling.

Total enclosed:


Please make checks payable to:
Howard Blake
512 W. 17th Street
Clovis, NM 88101

Thank you for registering and supporting shareware!
