REGISTRATION FORM ~~~~~~~~~~~~~~~~~ Please fill out the below information. FULL NAME ______________________________________________________ ADDRESS ______________________________________________________ CITY/STATE ____________________________________ ZIP _____________ BBS PHONE _____________________ VOICE PHONE ____________________ BIRTHDAY _____________________ PASSWORD _______________________ BBS NAME ______________________________________________________ Please choose one of following methods to receive your registered copy of CHANGE10.EXE. _____ I would like to have CHANGE10.EXE Mailed to me on a 360K Disk ($7). _____ I would like to have CHANGE10.EXE mailed to me on a 720K Disk ($7). CHANGE10.EXE Cost only $7 to register. With your registration, you will receive your registered copy of CHANGE10.EXE, free upgrades as they come out and support VIA Modem. Please send a check or money order to: JTsoft C/O Daniel Jones PO BOX 371 JACKSONVILLE, ILLINOIS 62651 * Please make your check or money order out to Dan Jones. Please allow 2 - 3 weeks for delivery of your registered copy! ALL ORDERS OF CHANGE10.EXE WILL BE PROCESSED AS QUICK AS POSSIBLE. Please feel free to call A SPACE ODDITY BBS anytime to check on your order. When calling "A SPACE ODDITY BBS" please leave all messages to "Dan Jones" A SPACE ODDITY BBS - 312-477-0716