MINIBBS V2.01                  $ 6.00                   REGISTRATION FORM
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    To Register MiniBBS, you must enter your Sysop Name, BBS Name, and your
    Sysop's Alias (optional). These must be spelled correctly, but they are
    not case sensitive.  If you do not print this form, please make sure that
    you include all of the information requested here.

                   SYSOP NAME:  ______________________________

                   BBS NAME:    ______________________________

    If your BBS uses aliases, you may optionally choose to have MiniBBS
    registered to your Alias.  If you choose this option, then enter your
    Sysop's Alias on the next line.  Otherwise, leave this line blank.
    (The "Sysop Name" above must be your Real Name in either case.)

                   SYSOP ALIAS: ______________________________


                               Mailing Information
                               ===================

                    Name:      ______________________________

                    Address:   ______________________________

                    City:      ______________________________

                    State:     ______________________________

                    Country:   ______________________________

                    Zip Code:  ____________


                               Your BBS Information
                               ====================

                   BBS Software: _____________________________

                   BBS Phone Number:     (___) ___ - ____

                   Voice Phone Number:   (___) ___ - ____

                   Your Current Version Of MiniBBS: _____

                   Where Did You Get MiniBBS? ________________

                   ___________________________________________

                   ___________________________________________


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               Mail $6.00 Check or Money Order (US Funds Only) to:

                                  Tom Mitchell
                             125 N. 4th St.  Apt. B
                               Chandler IN  47610