--=== South B*R*O*N*X GAME REGISTRATION FORM ===--


        Game Cost:  $20.00 U.S.  

        Method of Payment:  Postal Money Order (payable to Simon Rolfe).         

        ALL Canadian orders must be paid via a Canadian Postal Money Order 
        in US$

        U.S.A & ALL Foriegn orders must send an International Money Order 
        in US$


                          PLEASE TYPE / PRINT CLEARLY


    SysOp Name:________________________________________________


    BBS NAME:_____________________________ PLATFORM:___________ Ver# _____


    Mailing Address:___________________________________________


    City/State:____________________  Postal / ZIP code:________


    Country:_________________


    Your Internet E/Mail Address:______________________________


    If you have a FIDO NODE # enter it here: ___________________


    Which version of South B*R*O*N*X you are presently running:

    ________________

                
    Where did you get your original copy of South B*R*O*N*X (BE SPECIFIC)

    ________________________________________________________

    
    Send REGISTRATION forms to:   Simon Rolfe
                                  13-104 WOODRIDGE CRES.      
                                  Nepean, Ontario.,
                                  Canada 
                                  K2B 7S9

   Remember - Please make Money Orders payable to:  SIMON ROLFE