NEWIES 1.60 REGISTRATION FORM: (Please Print or Type) NAME:_______________________________________________ ADDRESS:____________________________________________ PHONE #:__(_____)____________________________________ BBS NAME:____________________________________________ BBS PHONE #: __(_____)_______________________________ BBS BAUD RATE: 2400 / 9600 / ___________________ YOUR NAME AS YOU WOULD WANT IT TO APPEAR ON NEWIES: FIRST: ___________________________________________ MIDDLE: __________________________________________ LAST: _____________________________________________ WOULD YOU LIKE TO DOWNLOAD YOUR REGISTERATION CODE? YES / NO IF DOWNLOADING FROM MORONIHAH BBS WHAT ACCOUNT PASSWORD WOULD YOU LIKE: _____________________________________________________________________ IF DOWNLOADING FROM MORONIHAH BBS WHAT IS YOUR BIRTHDATE? ____/____/_____ yr mo day WHAT BBS SOFTWARE DO YOU USE? _______________________________________ NOTE: We will use your first, middle, and last name as it appears above as your sign on name. Complete this form and send, along with $5.00 to: The MORONIHAH BBS c/o Brad Hodges 1321 Barry Road Anniston, AL 36206 If you would like your registered copy on disk send $10.00 to cover shipping and handling. ($5.00 for registration and $5.00 to ship plus cost of disk) NOTE: If have registered other MORONIHAH BBS products send the name of the product(s) you have registered and decuted $2.00 off the registration fee. (Please also include any Registration Code.)