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               ProBoard version 2.01     ----     Registration Form
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         Your Name    :  _______________________________________________

         Company      :  _______________________________________________

         Sysop Name   :  _______________________________________________

         BBS name     :  _______________________________________________

         Address      :  _______________________________________________

                         _______________________________________________

                         _______________________________________________

         Voice Phone# :  _______________________________________________

         BBS Phone#   :  _______________________________________________

         Hours of operation       : ____________________________________


         Is your system part of FidoNet?   ( ) - Yes          ( ) - No

         If so, what is your network address?  _________________________

         Type of registration:   ( ) Personal
                                 ( ) Commercial

         Payment method: ( ) Check/Cash            ( ) VISA
                         ( ) Bank Transfer         ( ) Mastercard

         Credit Card #: _______________________________

         Exp. Date    : ___/___

         Signature    : _______________________________

         Note: if we can not deliver your key via FidoNet, or a call to
         your BBS, please indicate which diskette size you prefer below
         and a key file will be mailed to you at the address you indicated
         above.

         Diskette-size:  ( ) - 5"1/4        ( ) - 3"1/2    (check one)