                     ͻ
                        DOWNLOAD.PPE Registration  
                     ͼ
                       or call (814)459-3269 (voice)
                               coded 11/7/96
        Thank you for having an interest in registering this PPE.  Registration
will delete the UNREGISTERED tag and the delays that come with it.  And insted
of UNREGISTERED your name or your BBS name will be displayed.
 
 PLEASE PRING THIS FORM AND COMPLETE IN PEN 
                            PLEASE PRINT!
 
Name: ___________________________________________ Telephone #:(____)____________
 
Address: _______________________________________________________________________
 
City: ______________________________ State: _______________ Zipcode: ___________
 
BBS Name: _______________________________________ Telephone #: (____)___________
 
Your internet E-Mail Address: 1) _______________________________________________
 
                              2) _______________________________________________
 
Name that you want displayed on PPE: ___________________________________________
 

               Please make and send check out to:   Paul Szymczuk
                                                    628 East. 13th. Street.
                                                    Erie, Pa  16503

 
( ) YES, I would like to order your DOWNLOAD.PPE for only $12.00 + $5.00 for
     shipping or long distance charges/uploading to your BBS,  for a total
     of $17.00 US FUNDS.
 
     If you are OUTSIDE THE US the cost is $13.50 + $9.00 for shipping or
   long distance charges
 
( ) YES, please send me the PPE on a 3.5" floppy to the address above.
 
( ) OR,  please upload the PPE to my BBS with a Private Sysop Upload.  I will
  use the BBS # that is listed above.
 
If I am uploading to your BBS please do the following for me:
 
USER NAME:  Paul Szymczuk
  PHONE #:  (814)459-3269
 PASSWORD:  SECRETPCB
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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