

                  BAJORAN TRIVIA REGISTRATION FORM - 1994
                                   $15.00

       .----------.___
      / |        |||\  ~~~--_               ____
   __|-------------| |~~~~~~~~----______--~~    ~~-_
  | _|-_           |_|                  =============
  |_|   ~~---------'__\_____------~~~~~~--.______.-~
   |__|~~ ~-__/   ~-_~-_
      ~--__   ~-__/  ~-_~-_   The NetWork That's "ALL" About Klingons!
           ~--__  ~-__/ ~-_~-_
                ~--__ ~-___/  ~-_   (tm) 1992 Klingon SoftWare Labs
                     ~--__       ~-_
                         [__________]=====[[
                            USRobotics 14.4/HST
                          215-426-5596 24hrs Daily
FidoNet - 1:273/935                                    KlinNet - 126:6000/0

MAIL THIS TO:  Zenobia Ferguson                 Make Cheque/Money Order
               Klingon SoftWare Labs            payable to ZENOBIA FERGUSON
               3421 N. Palethorp Street
               Philadelphia, PA 19140-4625      VOICE: (215)426-6730

                   ͻ
                   -=- MAJOR CREDIT CARDS ACCEPTED! -=-
                   Visa - MasterCard - American Express
                   ͼ

  Please enter BBS NAME and SYSOP NAME exactly how you want it shown from
  within the door! Please print neatly.

            YOUR NAME:_________________________________________
            ADDRESS:___________________________________________
            CITY/STATE:___________________   ZIPCODE:__________
            BBS NAME:__________________________________________
            BBS NUMBER:________________________________________
            FIDONET ADDRESS:___________________________________
            VOICE NUMBER:______________________________________
            BBS SOFTWARE:______________________________________
            BBS VERSION:_______________________________________

 [ ] I would like to download my KEYS from your BBS (Klingon SoftWare Labs)

   YOUR DATE OF BIRTH:______________________________

   PASSWORD TO USE ON KLINGON SOFTWARE LABS:_____________________________

   MONITOR TYPE: B/W___ MONO___ CGA___ EGA___ VGA___ SVGA___

                 Your Credit Card Number
  Ŀ
                                                     Exp.
   Date ___________

         If you wish to use a Credit Card, you have three options:
 Ŀ
 1) You may call in your credit card# at 215-426-6730 [Mon-Sat/10am-7pm]
 2) Enter your credit card# on our support BBS (Door-6) at 215-426-5596 
 3) Fill out this form and mail it to the above address                 
 
