ALTAIR Registration Form ------------------------------------------------------------------------ Please fully complete this form and return via the methods outined below First Name ________________________ Last Name ________________________ (As entered during ALTAIR setup) Full Name ________________________ Date __________ Phone ______________ Company/BBS ______________________________________ BBS no _____________ Exact Street Address ________________________________ Fax _____________ (For printed documentation if necessary) City _____________________ St _____ Zip ____________ Country __________ Node number FidoNet _______________ Othernet __________________________ (Your registration number will be sent to you crash mail via FidoNet or via BBS or via voice Phone if necessary) Pricing (See PRESSREL.TXT for details) Price Qty Cost --------------------------------------------------------------------- Simple registration $ 5 ____ ____ Standard Registration $ 10 ____ ____ Subsription Registration $ 25 ____ ____ Lifetime Registration $ 50 ____ ____ Printed Documentation $ 10 ____ ____ TOTAL ========== Allow 7 days for verification of funds on personal checks. Payment by money order or cashiers check will result in immediate assignment of registration numbers. Send coupon by US mail to the below addresses. Please make all checks payable to Kevin Kuphal 1011 Cascade Dr. Aurora, IL 60506 Fidonet 1:115/583.1 Internet KEVIN_KUPHAL@unitybbs.com