SPITFIRE REGISTRATION & ORDER FORM
DATE______________________________
REMIT TO: BUFFALO CREEK SOFTWARE
ATTN: Mike Woltz
913 - 39th Street
West Des Moines, Iowa 50265
********** U.S. FUNDS ONLY! **********
____Copy(s) SPITFIRE Registration (5 1/4 Disk(s)) $85.00 each Total $_______
____Copy(s) SPITFIRE Registration (3 1/2 Disk(s)) $85.00 each Total $_______
License to:
First Name__________________________________________________
Last Name___________________________________________________
Mailing Address_____________________________________________
City________________________________State_______Zip_________
Voice# (_____)_______-_____________
Data# (_____)_______-_____________
Your BBS Name_______________________________________________
Type of modem & max baud rate_______________________________
Modem initialization string used____________________________
Type of system______________________________________________
Public or private BBS_______________________________________
List my BBS and number in SPITFIRE manual (yes/no)__________
Who recommended SPITFIRE (if anyone)________________________
Where did you obtain SPITFIRE_______________________________
Current SPITFIRE Version No_________________________________
PLEASE COMPLETE ONLY IF REGISTRATION FEE
IS TO BE PAID BY A CREDIT CARD TRANSACTION:
Credit card number:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Type of credit card:________________________________________
(Mastercard or VISA)
Expiration Date:__-__-__
Signature___________________________________________________