D/Rk Technologies Registration Form - Thanks For Your Registration
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Please Make All Checks And Money Orders Payable To Justin Scott
Please Use Capitalization And Punctuation Where Necessary

SysOp Real Name: _____________________________________________

SysOp's Handle/Alias: ________________________________________

Name The Program Will Be Registered To: (Below)

______________________________________________________________

BBS Name: ____________________________________________________

Address: _____________________________________________________

City: _______________________ State: ___________ ZIP: ________

Phone - Voice: (   ) _______________ BBS: (   ) ______________

BBS Software: ______________________ BBS Hours: ______________

Baud Rates: __________________________________________________

Title Of Program                       Ver (As Of 01-07-96)    Cost XX
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DarkPost ............................. v3.3 ................ $10.00 __
DarkLiners ........................... v1.2 ................. $5.00 __
DoomDoor ............................. v2.0 ................. $5.00 __

                                                         Total $______

                                         Payment Method...

                                                       Money Order ___

                                                    Personal Check ___

                                                Cashier/Bank Check ___

                      Please Mail Your Order To...

                          D/Rk Technologies
                          ATTN: Justin Scott
                          4056 Palau Dr.
                          Sarasota, Fl 34241
