REGISTER.FRM

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CheckZip v2.00                REGISTRATION FORM

Please Complete The Following Form And Mail It With a Check/Money Order For
$10 To:

          Bill Hull
          P.O. Box 7453
          Rockford, IL 61126


Personal Info:

Real Name:____________________________  DayTime Phone: (   )-    -

Address:________________________________

City:_________________  State:_____ Zip:_________

BBS Info:

Sysop Name:________________________ Phone: (   )-     -

BBS Name:___________________________

FidoNet Node Number:  __:___/____

BBS SoftWare:_____________________ Version:____

Max Baud Rate:  ( ) 2400  ( ) 9600 ( ) Other:______

How Do You Wish To Receive Your Key:

        ( ) US Mail
        ( ) FidoNet NetMail
        ( ) Attached To Mail On File Cabinet

 If you choose to have your key attached to mail on File Cabinet please supply
 a Name and Password you wish to logon under:

  Name:___________________   Password:____________________


                   THANK YOU FOR SUPPORTING SHAREWARE!