    ____           _          __
   / __ \ __  __  (_) _____  / /__
  / / / // / / / / / / ___/ / //_/
 / /_/ // /_/ / / / / /__  / ,<
 \___\_\\__,_/ /_/  \___/ /_/|_|

             ___         __    _          _   __
            /   | _____ / /_  (_)_   __  (_) / /_  __  __
           / /| |/ ___// __/ / /| | / / / / / __/ / / / /
          / ___ | /__ / /_  / / | |/ / / / / /_  / /_/ /
         /_/  |_|___/ \__/ /_/  |___/ /_/  \__/  \__, /
                                                 /____/
                      _    __   _
                     | |  / /  (_) ___ _      __ ___   _____
                     | | / /  / / / _ \ | /| / // _ \ / ___/
                     | |/ /  / / /  __/ |/ |/ //  __// /
                     |___/  /_/  \___/|__/|__/ \___//_/   For Wildcat 5

                          by: John F. Gonzales
                                  v2.3


[-------------------------------[ DISCLAIMER ]-------------------------------]


Visit us on the Web
----- -- -- --- ---
http://www.i2.i-2000.com/~johnnyg and select Mustang Development.

Clip Here:
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Registration Form v. 2.3

Your Full Name: _____________________________________________________________

BBS Name      : _____________________________________________________________

# of Nodes    : _________

Wildcat Reg # : _________

BBS Phone #   : (_____)______-_____________

Voice Phone # : (_____)______-_____________

Street Address: ____________________________________________________________

		____________________________________________________________

City	      : __________________________________________

State	      : __________________________________________  Zip: _____________

Do you wish to receive your registration code via E-Mail?  [__] Yes    [__] No

E-Mail Address: __________________________________________

URL           : __________________________________________


Please enclose a check or money order for $24.95/US and we will send you your
registration code via E-Mail if you answered yes above or via snail mail if
you answered no. Please allow 1 week for delivery. If you have any questions
please email jgonzales@creationsbbs.com. Or you can order on-line at our website
http://www.i2.i-2000.com/~johnnyg

-----------------------------------------------------------------------------

Please make checks payable and send to:
John Gonzales
QAV Registration
57 Admiral Street
Port Jefferson, NY 11776