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 $_______ Add $10.00 Shipping & Handling if outside the North American continent. 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____________________________ Public or private BBS_______________________________________ List my BBS & number in SPITFIRE phone directory (Y/N)______ 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:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Name of cardholder:_________________________________________ Type of credit card:________________________________________ (Mastercard or VISA) Expiration Date:__-__-__ Signature___________________________________________________