New User Password v1.0


Name: __________________________________________________________________

Address Line 1: ________________________________________________________

Address Line 2: ________________________________________________________

City: _________________________________

State (2 Letter): _____________________

Zip Code: _____________________________

Voice phone number: ___________________


BBS Name: _____________________________

BBS Number: ___________________________



Name to be Registered to (Put anything you would like):__________________

BBS Name to be Registered to (Put anything you would like):______________

REMEMBER YOU CAN'T CHANGE IT.  I WILL PUT IT AS I SEE IT ABOVE!!!!!!


Thank You For Registering New User Password.

New User Password is sent out as donationware.

You will get a disk in the mail.  That is the reason for the 6 Bucks.
Got to pay for shipping!!!

Send this form with donation of $6.00 US dollars to:

                                Robert Velasco
                                6201 Secret Hollow ln.
                                Centreville Va, 22020

Make all checks payable to Robert Velasco.


FEEDBACK (MUST): ______________________________________________________
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