VBBS Black Jack Version 1.0



Name:_________________________________________________________________________


Address:______________________________________________________________________


City:________________________________ State:________ Zip:_____________________


*BBS Name:____________________________________________________________________


BBS Phone:____________________________  Voice Phone:__________________________


Password I would like on Final Approach BBS:__________________________________


Date Of Birth:___________________  Gender:________


Handle Desired:___________________________________  NOTE:  May not be available
                                                           if not your real
                                                           name will be used
                                                           instead!

You will need to download your Key file once you are registered.  The above
information is for your account on the Final Approach BBS. (412) 843-7147.



Where did you get this copy of VBBS Black Jack From:


______________________________________________________________________________



Please Send this form along with a check or money for $10.00 to:


                       Scott Slater
                       C-50 Colonial Oaks Circle
                       Beaver Falls, Pa 15010


   *Your BBS Name Must Apear "Exactly" as it shows up in VCONFIG.  Upper and
    lower case are important too!!  Be sure that the above is correct or
    your registration WILL NOT work!