***SUPER FMS LISTER 3.0 REGISTRATION FORM***


What is your First Name?  _______________________________

What is your Last Name?   _______________________________

What is your Home Phone Number?  (      )       -

What is your Business Phone Number?  (       )       -

Do you have a FAX Number?  (       )        -

What is your BBS NAME?  ________________________________________

What is your BBS Number?  (       )        -

What Baud Rates are Supported by Your BBS?  _____________________

Is your BBS a public access BBS?  _______

Name any Restrictions:  _________________________________________

SysOp Name:  __________________________

Co-SysOp Name:  __________________________

Where did you learn of this utility:

  __________________________________________________________________

What is your Mailing Address:
 
      _______________________________________________________________

      _______________________________________________________________

      _________________________________________________________-_____
        City                         State               Zip-Code

Country if other than USA:  ____________________

Please Check all that apply:  ($15 Basic Registration is min. req.)
  _                              _
 |_| $15 Basic Registration     |_| $20+ Basic Registration 
  _                                      (if you really like it!)
 |_| $1 Mail Notification of     _
        New Versions            |_| $5 Latest Version on Disk    
  _                              _
 |_| $5 QuickBASIC 4.5 Source*  |_| $7 Disk Combo: Latest Version +
                                 SAVE! QuickBASIC 4.5 Source*  SAVE!

  * QuickBASIC 4.5 Source should be compatible with QuickBASIC 4.0.

  NOTE:  Checks should be made payable to ETHAN POOLE and mailed to:

                              The EHP Software Exchange
                              c/o Ethan Poole
                              P.O. Box 1090
                              Trenton, FL  32693-1090
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