Registration Form for CasinoTAG - An ATS Production


  Name   : _________________________________

  BBS    : __________________________ BBS # : ________________

  Address: _________________________________

  City   : ______________  State : ____  Zip : _________

  Phone #: <Optional>

  Money Enclosed is  __ $10 *** __ $15

  Note - The $15 Dollar Charge is for 3 1/2 Inch Disks, since
         they cost so much more. I would recommend the 5 1/4
         $10 price.

  Comments/Suggestions/Etc -

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