IceChat v1.05 Registration Form :
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Sysop Name (As given in Dorinfo1.Def /Config.Ra) : ____________________________

Sysop Real Name (If different from above) : ___________________________________

BBS Name (As given in Dorinfo1.Def /Config.Ra) : ______________________________

BBS Number : (___) ________________  Voice Number : (___) _____________________

BBS Software : ____________________  Type Of Computer : _______________________

I Use [_] Dorinfo1.Def     [_] ExitInfo.BBS /Config.Ra

Net Node Address(es) : ________________________________________________________

Address : _____________________________________________________________________

City : _________________________  Province / State : __________________________

Postal / Zip Code : ____________  Country : ___________________________________

Comments/Suggestions/Bug Reports : ____________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

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Amount Enclosed ($15) : ___________

Please make all Canadian Registration Fees as either Cheque or Money Order
payable in CANADIAN funds to : Jeremy Loveman

Please make all other foreign Registration Fees as either Cheque or Money Order
payable in AMERICAN funds to : Jeremy Loveman

Send all Registration Forms and Fees to :

                           IceChat Registration
                           c/o Jeremy Loveman
                           100 Burling Place,
                           Newmarket, Ontario  L3Y 5W4
                           Canada