-----------------------  Registration Form for PCB Spell ---------------------
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|     Your registration includes the following:                              |
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|     * Most recent version of PCB Spell.                                    |
|     * One year of free updates.                                            |
|     * Access to the The Light House BBS.                                   |
|     * Unlimited techincal support via The Light House BBS.                 |
|     * You will be supporting my education                                  |
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|     Name:  _________________________________________________________       |
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|     Bulletin Board Name:____________________________________________       |
|     (Exactly the same as in PCBSETUP)                                      |
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|     Bulletin Board Phone Number: (____)______-______________________       |
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|     Address: _______________________________________________________       |
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|            : _______________________________________________________       |
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|     Voice Day Phone: _________________  Evening: ___________________       |
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|     Login Password: __________________  InterNet: __________________       |
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|     Please circle one:   2 Up to   2 Simultaneous Nodes  $ 15.00           |
|                         10 Up to   2 Simultaneous Nodes  $ 25.00           |
|                         25 Up to  25 Simultaneous Nodes  $ 35.00           |
|                         50 Up to  50 Simultaneous Nodes  $ 45.00           |
|                        100 Up to 100 Simultaneous Nodes  $ 55.00           |
|                        250 Up to 250 Simultaneous Nodes  $ 65.00           |
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|     Improvements/Comments/Suggestions:                                     |
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|     ________________________________________________________________       |
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|     ________________________________________________________________       |
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|     ________________________________________________________________       |
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|     FOR OFFICE USE ONLY:  Recieved __/__/__  S/N: __________________       |
|     94.10.21-1.11                                                          |
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   Please PRINT THIS INFORMATION CLEARLY.  The phone numbers are so, in
   case of difficulty with your order, we can contact you.  Failure to
   fill out this order form properly may delay delivery of your registered
   version.

   Once your registration is recieved you will be entered into a database
   on The Light House BBS (801) 359-1820.  By typing PCBSPELL at the
   main board prompt you can download all future registered versions.
   (Similiar process to Salt Air's BETA and PCBOARD doors.)

   Please enclose a check or money order, PAYABLE TO "BRANDON BACHMAN".
   If your check or money order is not payable to Brandon Bachman I will not
   be able to process your order.  If you have any questions, please call our
   bulletin board at 801-359-1820.

   Thank you for your support.  All proceeds will go towards supporting my
   education at the University of Utah where I am majoring in Computer
   Engineering.

   Remit this form to:   Brandon M. Bachman
                         270 E. 5th Ave. #7
                         Salt Lake City, Utah 84103