Registration form for RABIRTH
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Cheques and money orders or cash if you dare should be posted to:
Hamish Moffatt
c/- David Moffatt
ANZ Bank
9/55 Collins Street
Melbourne, Victoria,
Australia, 3000.
The registration number is generated on the sysop name only!
The other fields are for my information only.
Registration prices and other details can be found in RABIRTH.DOC.
Name: ______________________________________________________
BBS name: ______________________________________________________
BBS phone: ________________________________
BBS hours: ________________________________
Fidonet: ________________________________
Other net: ________________________________
Postal address: _______________________________________
_______________________________________
_______________________________________
Sysop phone (include area code): _____________________________
How will I send you your registration number? Tick one.
[ ] Crashed netmail (Australia only!)
[ ] You'll poll me (with an FTS-0001 mailer) for it
[ ] I'll post it to you (snail mail)
[ ] I'll mail it to you on Internet
Address: ____________________________________________
[ ] Other: ______________________________________________
Type of registration:
[ ] Non-commerical site
[ ] Commercial site