The OS/2 Shareware Web & BBS Subscription Form

Please select print in your web browser then mail or fax this form.

We have a system in place now to allow you to subscribe right now from this web page. Please see the Online Subscription Form if you would like to subscribe here on the web.

Date:_________________

The OS/2 Shareware BBS operates entirely through user contributions. There is no corporate sponsorship for the BBS. Thank you very much for your support.

Name:__________________________________________________________

NOTE: This MUST be the name which you want to use for your account, printed clearly and exactly like you will use it online. For example, if your name is Jonathan Quincy Doe and you want to log on as John Doe, please clearly print "John Doe" here.

Note also: The name you provide here should be your given first and last name, not a one-word logon ID. You can use your middle initial or name if you like.

Address:________________________________________________________

City, State, Zip:___________________________________________________

Day phone:_______________________________________________________

Night phone:______________________________________________________

Email Address:______________________________________________________

(New users only, password:__________________________________)

NOTE: if you already have an account of the BBS you do not need to provide a password here. If you have never logged onto the BBS, you MUST provide a password (printed clearly enough for us to read) so that we may establish an account for you.

Passwords here are up to 8 significant characters, all lower case.

6 month subscription ($24):______

12 month subscription ($39):_____

___ Check Enclosed (payable to Norloff Computer Corp)

___ Please charge my Visa/Mastercard/Discover/American Express card: (Please be sure to include day and evening telephone numbers in case there is a problem charging your credit card.)


Card Number: _________________________________

Expires: ______________________________________

Signature: ____________________________________


Your access level will be increased as soon as possible after receipt of your payment. Increased access will continue for the duration indicated and will be automatically reduced by the BBS software.

At any time during this period, for any reason, either you or we may cancel this relationship with a refund of the remaining balance of your subscription.

Please sign here to indicate acceptance of the above:

_____________________________________________________

(signature)

Please mail this along with payment in US Funds to Norloff Computer Corp., PO Box 3271, Oakton, VA USA 22124

Thank you very much for supporting the BBS.