                      GeBo's ImagiNation! Support BBS!
                     Donation Registration FORM 95-3145D
                            Copy Right 02/04/1995


 Complete the following information and mail to the SysOp's address below

      DEROS/RTD: ___________________  Today's Date: __________________

      Name ___________________________________________________________

      ALIAS (On GeBo's ImagiNation!)__________________________________
 
      Street Address _________________________________________________

      City, State and Zip ____________________________________________

      Voice/Home Phone (_____)________________________________________

      BBS/Modem Phone   (_____)_______________________________________

      FAX/FAX Modem Phone   (_____)___________________________________

      BBS Name (If SysOp)_____________________________________________
 
         A one time donation amount of $10.00, valid until DEROS/RTD:

          $10.00 = 75 mins. online,  150 mins Daily,  $20.00  added  
               to user  account monthly, NETMail access, CDROM File 
               Download Access, UNLIMITED daily file download limit.

          * Account Balances are updated on th 1st of each month *

*Cash Amounts may be sent at any time to be applied to User Account(OPTIONAL) 
                                                   
* One Time Registration Needed Per House Hold  =   AMOUNT Enclosed:__________
                                                                   
                                 
 
--------------------------   CUT Here And Mail TOP  -------------------------        

 
 Print and mail this form with check or money order to:

           George E. Jones
           PSC #79 Box 26845
           APO, AP  96364-6845

 GeBo's ImagiNation! Support BBS is a FREE BBS  and will continue to be so.
 The donations recieved will be  used for the sole purpose of upgrading the
 BBS as far as  registering doors,  Software CDROM purchases,  and Hardware
 purchases  needed to make  GeBo's more  user friendly.  A small percentage
 of the Donations  recieced will  applied to the adoption of an Orca Killer 
 Whale!  Details will  be sent to Donating  users,  as soon  as it  is made 
 available. 
 
   *** All donations are completely optional, and not required for use. ***

   Call GeBo's ImagiNation! Support BBS! 
   Node 2 632-3151,,,66 
   Node 3 Opening Soon! 

  * This Form supercedes any other form printed from GeBo's ImagiNation! *
                          Prior To This Printing Date
