    
                  History Trivia 1960-1979 Registration
                 --------------------------------------

Thank you for registering History Trivia 1960-1979 for WildCat 5.x 

Registration is (US) $8.00 
Registration entitles you to free upgrades.

NOTE: Please pay by Check or Money Order.  
      Payable to:  Nerdville BBS or John Guarnero

      Call our BBS for availability
      (219) 736-4957       -dial in lines (3)
      bbs.nerdville.com    -telnet
      www.nerdville.com    -http

Please send this completed form to:     Nerdville BBS
                                      	P.O. Box 344    
                                        Schererville, In. 46375


Note: Upon receipt of payment - you may pick up your registration number
                                on our BBS.


Amount Enclosed:   [ $8 ]  for History Trivia 1960-1979 registration number.

Door:               History Trivia 1960-1979
Name:               [_______________  ____________________________]

Address:            [_____________________________________________]

City/State/Zip:     [_____________________________________________]

We will use your first and last name to create an account on Nerdville
BBS so you may pick up the registration number on the BBS. Your key # will
be attached to a message when you call.

                     Password:  [________________________________] 



                     BBS NAME:  [________________________________]

This must be the exact spelling and CASE of your BBS Name as it appears
in the general setup.


            BBS Phone Numbers:  [________________________________]

 Where did you get this file?:  [________________________________]


  Number of BBS Dial In Lines:  [_____]

               Telnet Address:  [________________________________]
             
          Highest Modem Speed:  [________________]

            Operating System :  [________________]

                   Home Phone:  [________________]



         Additional Comments :
