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45 lines
1.5 KiB
APL
45 lines
1.5 KiB
APL
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Chateau Exine Adult Network
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PO Box 335 Montgomeryville, Pa. 18936-9998
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Network Membership Application (02-17-92)
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BBS Name.............................______________________________
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Your Name............................______________________________
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City, ST, Country....................______________________________
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Public BBS phone (NO Private #'s)....______________________________
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Date of Birth........................______________________________
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Modem Type/Baud for this number Only.________________ - ___________
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BBS software.........................______________________________
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Member of other networks (if yes who)______________________________
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___________________________________________________________________
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Level requested (Node, Hub, Reg).....______________________________
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Net software (Rnet, Tnet, Fido etc)..______________________________
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Requested hub (check nodelist).......______________________________
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I agree to be responsible for assuring that only people 18 or older
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will have access to these conferences. I certify that the information
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on this form is correct.
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_____________________________________
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Signature
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Return this form with proof of age to: STINGRAY BBS
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(We prefer a photo copy of your P.O. BOX 335
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driver's license) Montgomeryville, Pa 18936-9998
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