Registration Form ================================== (ONLY ONE PERSON/COMPANY per registration form) Name : ___________________________________________________________ Handle : ___________________________________________________________ Address: ___________________________________________________________ City : _______________________ State or Province: ___________ I-net Address : ____________________________________________________ Please send me my registration code through my email address NOW as well as the normal hard copy. [ ] Yes! Country: _________ (blank if USA) Zip: _ _ _ _ _ - _ _ _ _ Or _ _ _ -_ _ _ (Canada) BBS Name: ___________________________ BBS Software: _________________ BBS Phone Number : (___)____-_______ Home Phone Number: (___)____-______ # of remote nodes: ___ -= IF YOU ARE USING A CREDIT CARD =- Credit Card Type: [ ] Visa [ ] Mastercard Credit Card Number: _______________________ Exp Date: ____ I want T-LORD -=Mystic Castle=- ($10) : [ ] Yes! I want to be on Regional Action Games mailing list : [ ] Yes! I want the latest version of every IGM that Regional Action Games makes sent to me on a 1.44 3.5" disk for an additional $3.00 [ ] Yes [ ] No Subtotal ............................................: _____ Amount of money enclosed/expected to be charged: : _____ Comments / Suggestions : ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ If you are not using a credit card #, please send your check or money order in US FUNDS. Fill this form out, print it, and send it to: Regional Action Games <--(Make check out to this name!) 274 North Goodman Street Box 103 Rochester, New York 14607 *OR* Internet mail it to therag@frontiernet.net, your registration code will be e-mailed back. (credit card orders) *OR* Use our WWW site to register, at www.frontiernet.net/~therag (we have an online form, don't bother with this one) *OR* Use your credit card to register quicker, by calling Regional Action Games voice at (716) 458-4389 9 to 5 EST M-F using your Visa/Mastercard! A friendly (usually) Regional Action Games employee will give you your registration codes on the phone, same call!