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Wave Rider Single User Registration Form

Name: ____________________________________________________

Address: __________________________________ Apt. #: _________

City: ____________________________________________________

State/Prov: _________ Zip:_________ Country:__________________

FidoNet Node:____________ Are you the sysop? _________

InterNet Address: ______________________________________________

Daytime Phone Number: _________________________________________

Evening Phone/Data Line Number: ________________________________

Type(s) of Mail Packets Used:
=============================

___ BlueWave

___ Remote Access ___ Maximus ___ Other BlueWave packet type


___ QWK

___ Maximus built in QWK ___ Qmail 4 packets

___ WildCat/TomCat QWK packets ___ Spitfire QWK packets

___ TBBS mail packets ___ EZYComm QWK packets

___ SuperBBS built-in QWK packets ___ Other, please specify


Networks Participated In
========================

___ FidoNet BBSName & Number: ____________________________________

___ RIME BBSName & Number: ____________________________________

___ ILink BBSName & Number: ____________________________________

___ Intelec BBSName & Number: ____________________________________

___ SmartNet BBSName & Number: ____________________________________

___ Other BBSName & Number: ____________________________________

Would you be interested in beta testing future versions:________

What version of Wave Rider have you been evaluating:________________

Are you a registered user on Crystal Cavern:____________________

Comments:____________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Disk format : ____ 3.5" (HD) ____ 5.25" (HD)


____ Enclosed is $50.00 in US FUNDS. (Full registration, not update from WinQwk)

Washington residents please add 8.2 % sales tax.

____ Enclosed in $15.00 in US FUNDS. (Update from WinQwk)

Washington residents please add 8.2 % sales tax.

You may pay by check or money order in US funds only please.
If you are outside of North America, the check/money order needs to be
drawn on a US Bank.

Send to:

Doug Crocker
P.O. Box 40026
Bellevue, WA 98004-4026__________________________________

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