                             WILDNEWS Registration

               Send BBS information and the following in $ U.S.

               Registration      via mail........................$10
               

           [-------------------------------------------------------------]

          FROM: 
                  Name: 
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               Address:  
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                  City: 
                       ---------------------------------------------------
           State & Zip: 
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                HUB ID:                       NODE ID:
                       ----------------------         --------------------
          Phone(voice):                        (data)
                       ---------------------         ---------------------
        Mail to:
             Stephen H. Tuell
             Kaua'i Health Net
             4748 Iwaena Rd.
             Kapaa, HI  96746




