NEWIES 4.0 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
WOULD YOU LIKE YOUR REGISTRATION CODE PUT ON HOLD AT FIDO 1:3657/5?   YES/NO


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

IMPORTANT NOTE:  You must call to pick up your registration codes.  I will 
    not send them through the mail.