VP-DOOR Registration Form


Name _________________________________________________________________________

Address ______________________________________________________________________

City ________________   Province/State ___________   Postal/Zip Code _________

Country _________   Phone # - Voice ___________________ Data _________________


BBS Name & Phone Number(s) (As will be in Registration Key)

______________________________________________________________________________


How would you like your key sent?  (As soon as Cheque clears... 8) )
        
        (  )  Postal Mail    -    (  ) 3-1/2 inch     (  ) 5-1/4 inch Diskette

        (  )  Fido Crash/Netmail  - Address:

        (  )  Internet UUEncoded  - Address:


If you are participating in the Registration Discount Offer (see OFFER.TXT),
what password have you used for my log-on?
(I will log on as ALLEN WALKER)              _______________________________


Is this your BBS or are you "Adopting" this BBS (Circle one)?   Sysop   Adopt


If adopting, what name would you like to have shown (leave blank for real name)

______________________________________________________________________________


What would you like to see in future doors:

(  ) Rip Graphics      (  ) Simple, Addictive Games   (  ) Puzzle/Mind Games

(  ) More Ansii        (  ) Complex Strategy Games    (  ) Kids Games

(  ) Utility Doors     (  ) Adult/R-Rated Games       (  ) Action Games

(  ) Other: Please Specify ___________________________________________________


Other Comments/Suggestions:





NOTE:  Please be sure to make out Cheque or M.O, for $2O US, to:

                              ALLEN WALKER
                              #3O6 - 2546 Quadra St
                              Victoria, B.C, Canada
                              V8T 4E2