REGISTRATION FORM QESSUMRY 2.0 Name:___________________________________________________________ Address:________________________________________________________ City:____________________ State:______ Zip Code:__________ Are you a SYSOP of an operating BBS? ( ) Yes ( ) No If Yes, what is the data phone number for the BBS? ___________________ Where did you obtain your copy of QESSUMRY? ________________________________ If from a BBS, what is the name and number of the BBS? ______________________ OPTIONAL $10.00 Registration fee enclosed: ( ) Complete and send to: R. Mike Worley P.O. Box 45321 Boise, ID 83711