

			TriRomDown 1.00 ORDER FORM

     $5 for each key when you pick your TriRomDown Key up.
     $7 for each key when I deliver your TriRomDown Key.
	

     Name    ______________________________________________________________

     Address ______________________________________________________________

             ____________________________________________

     City    __________________________ State ______ Zip __________________

     Country __________________________

     Phone   __________________________

     If you would like your bbs to be listed as using TriRD complete the
     following.  Thanks!

     Your BBS Name: __________________________________________


     Your BBS's Phone Number: ____________________________________


     What BBS Software: _________________________________________


     Modem Speed(s): _________________________________________

    	
     Your BBS Hours: ______________________________________________ 

     Mail Orders:

     Bill Worley
     19 Kerbaugh Road
     Altoona, PA 16601

     Name you want the software to show as being registered to:

		_____________________________________________


     If you are picking up your KEY please complete the following for a quicker
     logon.

	User Name Desired _______________________________

	Password  ______________________________

	City, State  __________________________________

	Birthdate  ____________________________


     By completing this it will make your initial logon time quicker.  KEY 
     files will be made as soon as I receive the request.   

     If you would like the KEY file delivered please fill out the following:

	My User Name or Number _____________________________________
        
	My Password __________________________________

	Birthdate you used _________________________________

	My City & State are Altoona, Pa 16601

     This will make my logon to deliver your key much easier and it's 
     appreciated.  NOTE:  Make sure your bbs is up so I can deliver you
     key... :)  







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