                     Registration Form For Crazy Boy Prod.
                     ======================================

Name  : ______________________________     Age: ___  (optional)

Address: ___________________________________________________________

City : _______________________   State or Province: ___ 

Zip: _ _ _ _ _ - _ _ _ _    Or _ _ _ -_ _ _ (Canada)

BBS Name: ___________________________    Handle: _________________________

BBS Phone Number:  (___)____-_______     Max baud rate: ______

Home Phone Number: (___)____-_______     More then one phone line? [ ] 

Internet Address: __________________________________________________

  Check the Items you want to register!
       Program                       Latest Version          Fee/Cost
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   [ ] Dragon's Claw Tavern             v2.01                 $ 5.00
   [ ] Caldor's Orphanage               v0.05                 $ 5.00
   [ ] Wise One                         v2.00                 POSTCARD  
                                                  
                                           Part 1  Subtotal   $_______
  Check One Option!
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 1. [_]  I want my registeration number emailed to me on Internet 
  
 2. N/A  I want my registration number mailed to me (snail mail)  
               (Please send a Self Addressed Stamped Envelope! <SASE>)

  = Total US Funds enclosed   $ _________
  
  Any Comments/Suggestions that you'd like to make about Crazy Boy Prod. :
  
  __________________________________________________________________________
  
  __________________________________________________________________________
  
  __________________________________________________________________________


-= CUT HERE =-  -= CUT HERE =-  -= CUT HERE =-  -= CUT HERE =-  -= CUT HERE =-
        
NOTE : I couldn't give a rats ass what your FIDOnet address is..  
       I DO NOT HAVE FIDOnet!  

Please don't send me this page...  i know my address... REALLY!!

Send this form with your U.S. funds check or money order to:

   Brian May
   PO Box Address Here

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  Please makesure that the check or money order is payable to Brian May!
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