---[Gold Rush v1.0á]-------------------------------------------------------
---[Registration Form]-----------------------------------------------------

Registration is not required in order to run this game, but we'd like
you to register this game!

Name:    [________________________________]        Registration is only
Address: [________________________________]        $10 (US Dollars) for
Address: [________________________________]        Gold Rush v0.8á and future
City:    [________________]                        versions, so go ahead and
State:   [___]                                     register!
Zip Code:[________________]
Country: [________________]
Phone:   (___) ___-____                   Note: We do not register this game
                                          under handles for various reasons.
Age: [____]                               We also cannot accept checks from
                                          non-US banks!  Make out checks or
BBS Name: [_________________________]     money orders to "Philip Culver".
BBS Software: [_____________________]     If Out of US, send a check or
Max Baud Rate: [____________________]     money order from a US bank(US Funds),
BBS Number:  (____) ____ - ______         cash(US), or a postal money order.
FidoNet Node(If any): [_____________]     Thanks!
OtherNet Name(If any): [____________]
OtherNet Node(If any): [____________]

Computer System: [________________________________]
ComPort:[____]
Birthday: ___/___/___

How important are online games on your BBS?  __________________

Note:  Registration for Official áeta testors is $5.00 dollars US funds not
       the regular $10 dollars.

Suggestions, comments, bug reports, problems, or anything else:










If you would like your registered version Uploaded to your BBS please add
an EXTRA $5.00 to cover Long Distance Charges a version will also be sent by
mail.  If UL Registered version please create an account for me using:

                User Name: PHILIP CULVER
                Password : RUSH


Print out this file and send to:

    Philip Culver
    5155 NY Rt 79
    Port Crane, NY 13833

Thanks for your cooperation!