WILD BIRTHDAY'S

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 First Name :___________________Last Name :_______________________

    Address :_________________________________APT # :_____________

       City :_______________________State :_______ZIP :___________

 Home Phone :(    )____-________
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 BBS NAME :___________________________

 BBS Phone :(    )____-________Fido Net/Node :____:______/________

 Maximum Baud Rate :_________________Modem Type :_________________

 Math CO-PROCESSOR ( )YES  ( )NO   Computer Type :________________
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      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 : 209-497-6722
      ACCOUNT BIRTHDAY : 07/26/65
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WILD BIRTHDAY'S REGISTRATION : QTY___ x $ 7.50 = $________________

 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 programs   ADD $1.00 $________________

  TOTAL DUE (US FUNDS ONLY)                      $________________
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 Send Check or Money Order to :
      Danny Davis
      2103 N. Arthur
      Fresno, Ca.  93705

         CHECKS WILL HOLD UP THE ORDER TILL THEY CLEAR THE BANK


                   SPECIAL REGISTRATION OFFER

    Wildcat Package v4.x Only:
    --------------------------

    A. WILD OPERATOR A WILDCAT CALLBACK VERIFIER (wcCODE program)
    B. WILD BIRTHDAY'S - Listing Of Birthdays (wcCODE program)
    C. NEW WILD USER'S - Listing of New Users for XX Days (wcCODE program)

     ( ) All wcCODE Applications       $ 25.00 = $ ____________

     ( ) Item B & C only               $ 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 programs   ADD $1.00 $______________
       (This includes my DOORs)

                   Total US FUNDS DUE         = $ _____________