IPNET.PPE REGISTRATION APPLICATION

         Any donation of $5, $10, $15 or more is gratefully accepted!
            ______________________________________________________

                                         MAIL to: Michele Stewart
      (305) 432-2223 (16.8 HST/DS)                P.O. Box 821864
      (305) 433-3495 (14.4 HST/DS)                South Florida, FL 33082-1864

       Date:__________________

 ***>  FIRST and LAST NAME _______________________________________________

       ADDRESS             _______________________________________________

       CITY, STATE, ZIP    _________________________   ____    ___________

       VOICE/BBS PHONE #   _________________________/_____________________

 ***>  YOUR BBS NAME       _______________________________________________

       Password for pre-registration on SunShine _________________________

       Fidonet Node Number:___________________

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       Program Name:______________________  Version:______________________


              TOTAL Enclosed__________(U.S. FUNDS ONLY !!!!)

                            DO NOT SEND CASH!!
            Make Check/Money Order Payable to: MICHELE STEWART
            ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
=> Registration numbers will be made available, in a message, on SunShine OR
=> enclose a self-addressed stamped envelope to receive them by return mail!

***> NOTE: THESE ITEMS MUST MATCH EXACTLY WITH THE WAY YOU HAVE ENTERED THEM IN
           THE CONFIGURATION FILE. UPPER AND LOWER CASE IS CRITICAL !!!!!

(11/01/94)
--------------------------- For Internal Use Only ----------------------------

 Date Received ______________  Amt Received ____________  Reg No.____________