
			REGISTRATION FORM

			Contra Band Runner

	BBS Name:

	Registration Number:

	Sysop Name:

	BBS Phone Number:

	E-Mail Address:

	Address:


	How would you want your registration code sent?

	[ ] Email	[ ] Mail (+$1)	  [ ] Call Misconception's BBS


	If you want me to mail your code add $1.

	If you want to call Misconception's BBS (253) 472-0796;

		Logon name:
		Password:

	
	Registration is $10.  Make Checks & Money orders payable to

		Martin Von Cannon
		5825 S. Puget Sound
		Tacoma, WA. 98409

	Bounced Checks will be fined a $25 fee and / or returned.

		Allow 2 - 3 weeks for Checks to process.

	