
    ͸
             SoftWare Registration form for KSL SoftWare Products        
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                                Revised 05/01/95
                    Please PRINT All the Information Clearly

                              Personal Information
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 Your First Name: __________      Your Last Name: _______________            
                                                                             
 Voice Phone: (___)___ - ____     Data Phone: (___)___ - ____                
                                                                             
 Street Address: ______________________________________ City: ______________ 
                                                                             
 State: __  Zipcode:_____-____    Date of Birth: __/__/__                    

                                BBS Information
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  BBS Name:_________________________  BBS Phone: (___)___-____               
                                                                             
  BBS SoftWare Type: _______________  BBS Version: _____  Max Baud: ______   
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  Fido Net Address: __:____/____     Type of Monitor: B/W___  MONO___       
                                                                            
  Number of Phone Lines: ____        CGA___  EGA___ VGA___  SVGA___         

                             KSL SoftWare Products

 Klingon Trivia[ ] $15      DS9 Trivia[ ] $15      ST:Generations Trivia[ ] $15
 What Version(s) of KSL SoftWare are you currently using?: ___________

                         Terms of Payment and Shipping
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 Do you want the SoftWare mailed to you:___  Disk Media Type: ____           
 DownLoad from Support BBS:[ ] 609-662-2878 (28,800bps V.FC V32b V42b)       
 Send via Fido CrashMail FileAttach: [ ] $1 Xtra                             
 Uploaded to your BBS:[ ] $1 Xtra                                            
 If you want me to upload the Key/Serial number please enter the Name and    
 PassWord you have setup on your BBS for me to use _________________________ 

      We Also accept MasterCard/Visa/AMEX Online @ 609-662-2878 (Door# 6)
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                                       Exp.
                       Date __/__/__
                 Card Type (MasterCard/Visa/AMEX): ____________

             THANKS FOR REGISTERING YOUR KSL SOFTWARE PRODUCT(s)!!

                            Please Make Payment to:

                            Zenobia S. Ferguson
                            2240 N. 37th Street
                            Pennsauken, NJ 08110-2212
                            609-662-2848 (Voice)
