                      R E G I S T R A T I O N   F O R M

Minnesota OS/2 User Group  | Bulletin Board System: 1-612-379-8272
7300 12th Avenue South     | Voice/Fax Information Line: 1-612-869-7956
Minneapolis, MN  55423     | Internet: mkrumph@maroon.tc.umn.edu

Please fax or mail this form.  Electronic registrations via BBS are also 
possible (see Questionnaire #05).  If you have any questions, please call or 
fax our Voice/Fax Information line!  Please make checks payable to:  "MN OS/2 
User Group".  

Unless otherwise specified, this information will be considered public 
information.  Public ___ Private ___ 

Name:                               Country:                                
                                                                            
Company:                            Home Phone:                             
                                                                            
Mail Stop:                          Work Phone:                             
                                                                            
Address:                            FAX NUMBER:
                                                                            
City:                               Fax Type:   Full Time ___  Part Time___ 
                                                                            
State:          Zip:                EMAIL ADDRESS:


Please check one of the following types of memberships: 
+--+--------------+-----------+---------------------------------------------+
|  |$???.??  life |Patron     |MNOS2 Patron / $15 yearly for registered BBS |
|  |              |           |access                                       |
+--+--------------+-----------+---------------------------------------------+
|  |$100.00 yearly|Corporate  |MNOS2 Corporate Sponsor / $15 additional for |
|  |              |           |each member which would like registered      |
|  |              |           |access to BBS.                               |
+--+--------------+-----------+---------------------------------------------+
|  |$30.00  yearly|Individual |MNOS2 membership / registered BBS access     |
+--+--------------+-----------+---------------------------------------------+
|  |$20.00  yearly|No BBS     |MNOS2 membership / Guest BBS access          |
+--+--------------+-----------+---------------------------------------------+
|  |$15.00  yearly|BBS Only   |No MNOS2 membership / registered BBS access  |
+--+--------------+-----------+---------------------------------------------+
|  |No Charge     |Guest      |MNOS2 Guest / Guest BBS access               |
+--+--------------+-----------+---------------------------------------------+

Which are you interested in:            Comments/Suggestions:
___ Afternoon Corporate Meeting
___ Evening General Meeting
___ LAN Server SIG
___ Rochester SIG
___ Contributing to MNOS2


----------------------------  For MNOS2 Use Only ----------------------------
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BBSName         BBSExpire        BBSPaid          Misc

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