Registration for RGWeeder.exe


     Real Name : [                                   ]

     Address   : [                                   ]

     City/State: [                                   ]

     Zip Code  : [         -       ]

     Voice Phone # : (     )      -

     BBS Phone #   : (     )      -

     Computer Type : [                                       ]

     Modem Type    : [                                       ]

     How long have you run Renegade? [    ] Yrs/Mos/Days

     How long have you been a SysOp? [    ] Yrs/Mos/Days



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