Request Bulletin REGISTRATION FORM Registration of Request Bulletin v1.0 is $5.00. Payment is to be made in U.S. funds only. Please answer all of the following questions. Name_________________________________________________________ Address______________________________________________________ City_____________________State__________________Zip__________ BBS Name_____________________________________________________ BBS Phone Number_____________________________________________ THANK YOU FOR REGISTERING Request Bulletin Mail to: Charles F. Poynter Box 116 Hector, AR 72843