Tournament Trivia -- Registration Form   
--------------------------------------
 Please see README.TXT for instructions on how to register.  This form is
 for registering the door via Postal Mail.  On-line registration is also
 available; please visit http://trivia.doormud.com/register.html for details.

 Please fill out this form neatly and legibly.  

 Sysop Name _____________________________________
 (Game will display as registered to this name)   
                                                    
 Your e-mail address:  __________________________   
 (Registration file will be sent to this address)


 Your Real Name _________________________________
 (If different than Sysop Name above.  Required
 if using an Alias for Sysop Name.)
 
 
 Home address, City, State, Zip Code, Country:
    _____________________________________________         
    _____________________________________________         
    _____________________________________________         
 

 BBS Name              __________________________
 BBS Phone Number      __________________________   (If applicable)
 Telnet Address        __________________________   (If applicable)
 BBS Software          __________________________
   # of telnet lines   _____    
   # of dial-up lines  _____   

 Where did you first hear about this door?   _________________________________
 

 I, _________________________ (Your Name), state that the above information is
 correct.  Upon receiving my registration file, I will not distribute it in any
 form.  Should any of the above information be false, or should my registration
 file be found to have been distributed to other computer systems, I understand
 that I will be held liable for any and all damages.

 Signed _____________________  Date ____________    (Please sign in ink)
             
 If you wish, you may use the back of this sheet to write additional comments.

 Please include appropriate payment as specified in README.TXT.