WCS Doors Order Form Name:__________________________ Date:_________________ Address:_______________________________________ City:__________________________ State:____ Zip:_______________ BBS Phone:(____) _____-______ Voice Phone: (____) _____-_______ Registered to Name: ________________________________ (30 Characters) BBS Name :_________________________________ (30 Characters) FIDO Address: ____________ BBS Software:__________________ Modem Type/Speed:_________________________ Where Did You Get This Game? ______________________________ **** New Service from WCS Software!!! ***** You may also now register and get your keys quickly by calling Williams Computer Services BBS at (503) 631-8439 and using the online registration door. Have your Visa or Mastercard ready, fill out the proper information. Call back in approximately 10 minutes, and your keys will be sent to you attached to a personal message! Send Registered Key(s): US MAIL ____ You call & Download ____ FIDO NetMail ____ If by mail, disks will be sent on 3.5" HD disks If you choose to download, files will be placed on Williams Computer Services BBS for you. Phone number (503) 631-8439 I will pre-register you with first / last name above. Password you wish to use:___________________ Payment Type: Money Order___ Check___ VISA___ MasterCard___ If Credit Card, CC Number: ______________________ Exp Date: __________ Single Multi Quantity Name of Game Node Node Amount -------- --------------------------- ------- ------- ------ ___ Battle Trip v2.1 $15.00 $20.00 ______ ___ Plain Jane Trivia v1.8 $15.00 $20.00 ______ ___ WCS BlackJack v1.4 $10.00 $15.00 ______ ___ WCS Keno v1.3 $10.00 $15.00 ______ ___ WCS Uno v2.1 $15.00 $20.00 ______ ___ WCS Rook 'em v1.1 $15.00 $20.00 ______ ___ WCS Oil v1.0 $15.00 $20.00 ______ ***SPECIAL*** All Doors $55.00 $65.00 ______ If ordering more than 2 doors, subtract 10% <______> (**NOT VALID WITH ALL DOORS SPECIAL**) Shipping (if by US Mail) $3.00 ______ Shipping (if by NetMail) $1.00 ______ TOTAL ______ =========================================================================== THANK YOU FOR SUPPORTING THE SHAREWARE CONCEPT BY REGISTERING YOUR GAME =========================================================================== Please mail completed form to: Rob Williams 18370 S. Henrici Road Oregon City, OR 97045 ======================For WCS Use ONLY below this line===================== Date Received : __________ Date Mailed/NetMailed : ________ Customer Number: __________ Registration # : __________ 12/20/95