_____ __________ _____ __________ ____ _____ _____ ____ Dz/a! _____ _____
/ _ __/ _ / _ __/ _ / / / _ __/ /_ ___ / / /
/ / / / / / / / / / __/ / /_ /
/ / / / / / / /_ / / / / _____ /
/______\ _ /______\ ____\ ______\ _\ _________\ ____\ __________\ /______\
i n i q u i t y b b s \/ s o p h t w a r e 2.0 PLUS
- O R D E R F O R M -
Full "Real" Name:__________________________________________________________
Address<1:_________________________________________________________________
Address<2:_________________________________________________________________
City:_____________________________________________ State/Province:_________
Zip Code:__________________________ Country:_______________________________
BBS Name:__________________________________________________________________
SysOp Name:________________________________________________________________
BBS Phone Number:__________________________________________________________
EMail Address:_____________________________________________________________
BBS Telnet Address:________________________________________________________
(Hostname and IP Address)
Enter the following information so you may access the development server.
Account Login:_______________________________ (Must be 4 or more chars)
Account Password:____________________________ (Must be 4 or more chars)
Payment Method: (Check one)
[ ] Check - [ ] Money Order
NOTE: Make checks and money orders out to Mike Spenard.
-----------------------------------------------------------------------------
Send Order Form To:
Mike Spenard
38 Leach Hill rd.
Goffstown, NH 03045
United States of America