-=> Hang-Man Registration Form <=- %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% First Name :___________________Last Name :_______________________ Address :_________________________________APT # :_____________ City :_______________________State :_______ZIP :___________ Home Phone :( )____-________ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% BBS NAME :___________________________BBS Software :______________ BBS Phone :( )____-________Fido Net/Node :____:______/________ Maximum Baud Rate :_________________Modem Type :_________________ Math CO-PROCESSOR ( )YES ( )NO Computer Type :________________ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% There are three ways of receiving your registration. You can choose from US Mail, Remote or via FIDONET. If you do choose REMOTE please fill out the REMOTE REGISTRATION SECTION. If you choose mail I will send you your key file plus the current door(s) you registerd. REMOTE REGISTRATION : (USA ONLY) Please make an account with the following information so that I can upload the registration code to you. ACCOUNT NAME : DANNY DAVIS ACCOUNT PASSWORD : (PRINT PLEASE) ACCOUNT PHONE : 209-325-0278 ACCOUNT BIRTHDAY : 07/26/65 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% HANG-MAN REGISTRATION : QTY____ x $15.50 = $________________ CHOOSE ONE BELOW : ( ) US MAIL ADD $ 3.00 = $_____________S/H Please Select a Disk Size : ( ) 720k ( ) 360k ( ) 1.2 ( ) 1.44 ( ) REMOTE OR FIDONET (USA ONLY) ADD $ 2.00 = $_____________L/D CA RESIDENT add SALES TAX $________________ Disk with all the latest doors ADD $1.00 $________________ TOTAL DUE (US FUNDS ONLY) $________________ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Send Check or Money Order to : Danny Davis 1126 Birch Avenue Clovis, California 93611 CHECKS WILL HOLD UP THE ORDER TILL THEY CLEAR THE BANK SPECIAL REGISTRATION OFFER If you register multiple doors you may take advantage of the special pricing shown below. See DOOR.TXT file for more information on the other doors. Select The Doors You Wish To Register : ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ( ) Hang-Man ( ) Thirteen ( ) Yahtzee ( ) Match 15 ( ) Word Scramble ( ) Black Jack ( ) Solitaire ( ) Video Poker ( ) Tuts Revenge ( ) Draw Poker ( ) Four Leaf Clover ( ) Seven Towers ( ) Solitaire Concentration ( ) Phrase Craze ( ) Keno QTY = Number of Doors Checked 2 - 4 Doors QTY____ x $14.50 = $ ________________ 5 - 14 Doors QTY____ x $12.50 = $ ________________ All 15 Doors QTY____ x $10.00 = $ ________________ ( ) US MAIL ADD $ 3.00 = $ _____________S/H Please Select a Disk Size : ( ) 720k ( ) 360k ( ) 1.2 ( ) 1.44 ( ) REMOTE or FIDONET ADD $ 2.00 = $ _____________L/D CA residents add sales tax + $ ________________ Disk with all the latest doors ADD $1.00 $_________________ Total US FUNDS DUE = $ ________________ Credit Card Site Registration SITE INFORMATION USA Registration Site ~~~~~~~~~~~~~~~~~~~~~ Postal address: Ordering information: Mississippi Online BBS : 1-601-356-9032 Sysop : Ken Foster FidoNet : 1:361/202 ATTN: Dept : 1:361/205 P.O. Box 459 Internet : kjf1@ahs.aberdeen.k12.ms.us Caledonia, MS 39746 Voice : 1-601-356-4167 Voice Hours: Monday thru Friday -- 6:00pm to 9:00pm (CST) Saturday & Sunday -- 2:00pm to 9:00pm (CST) Orders accepted by Netmail, Mail, E-Mail or BBS (Credit Card online) Credit Cards accepted: Visa, MasterCard, & Discover Personal Checks, Money Orders, or Cashier's Checks made payable to Mississippi Online are also accepted. Keyfiles are Generated and sent by one of the following means: 1. Crash Netmail to any ZONE 1 Fidonet Address, all other zones will be placed on hold for them to poll. 2. Attached to a message on Mississippi Online for you to pick up. 3. Sent attached to your E-Mail address on the Internet. 4. ALL Keyfiles are usually generated within 24 hours.