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  1.                                NetHost:                          05/17/93
  2.                            Revision Systems
  3.                             (609)896-3256
  4.                         
  5.                      - Application for Centipede -
  6.  
  7.           
  8.           Sysop Name:__________________________Age:________
  9.      
  10.           Voice Phone Number:__________________TimeZone:___
  11.     
  12.           Home Street Address:_____________________________
  13.           
  14.           City:____________________________________________
  15.  
  16.           State and Zip Code:______________________________
  17.           
  18.           Where this Information
  19.           Packet was obtained:_____________________________
  20.  
  21.           System Name:_____________________________________
  22.  
  23.           System's Public Data Line:_______________________
  24.  
  25.           System's Primary Features As Shall Be Shown In 
  26.           The Nodelist:
  27.                        ____________________________________
  28.            
  29.           _________________________________________________
  30.  
  31.           Modem Used:________________ Baud Support:________
  32.             
  33.           Nodes Online:______   Duration of System:________
  34.     
  35.           Applying for [ ] Node / [ ] Regional Hub Status.
  36.              (* SuperRegional Status Is Only Granted *)
  37.              
  38.           Asking to pull from what Hub?____________________
  39.  
  40.           Applying to pull [ ] All / [ ] Some Conferences:
  41.                (Note: Hub Status Must Pull/Poll All)
  42.              
  43.           If pulling from Revision Systems, Procedure You
  44.           Shall be using: [ ] Fidonet / [ ] QWK Mail Packets.
  45.              (Conference Names are both Fidonet & QWK)
  46.  
  47.       1    [*] Centipede            (General Conference)
  48.       2    [*] CentHelp             (Help with Centipede)
  49.       3    [*] Sysops               (Sysops only)
  50.       4    [ ] PoetryForum          
  51.       5    [ ] GeneralLit           (Literature Discussions is General)
  52.       6    [ ] Journalism  
  53.       7    [ ] Philosophy  
  54.       8    [ ] YGDRASIL             (Publishing Company Conference)
  55.       9    [ ] Sciences     
  56.       10   [ ] Religion    
  57.       11   [ ] WorldEvents  
  58.       12   [ ] Cinemas  
  59.       13   [ ] Television      
  60.       14   [ ] BltBoards            (BBS Ads and etc)
  61.       15   [ ] RadioStations         
  62.       16   [ ] Programmers    
  63.       17   [ ] Classifieds      
  64.       18   [ ] Politics     
  65.       19   [ ] Collections  
  66.       20   [ ] Software  
  67.       21   [ ] Automobiles  
  68.       22   [ ] Travel  
  69.       23   [ ] Sports&Hobbies  
  70.       24   [ ] FarEastStudy         (Discussions of the Far East's Lit.)
  71.       25   [ ] Sociology  
  72.       26   [ ] Psychology  
  73.       27   [ ] MedicalTalk  
  74.       28   [ ] LegalChat  
  75.       29   [ ] RealEstate  
  76.       30   [ ] Insurance  
  77.       31   [ ] FloristTalk  
  78.       32   [ ] ArtDiscussion  
  79.       33   [ ] Economics  
  80.       34   [ ] DebateForum  
  81.       35   [ ] SpeculativeHs        (Parallel Histories)
  82.       36   [ ] Dreams  
  83.       37   [ ] EducationChat  
  84.       38   [ ] Mathematics  
  85.       39   [ ] Electronics  
  86.       40   [ ] DifferentNets   
  87.       41   [ ] WorkingArea  
  88.       42   [ ] Environmental  
  89.       43   [ ] Folklore  
  90.       44   [ ] Cuisine  
  91.       45   [ ] Construction  
  92.       46   [ ] Hardware  
  93.       47   [ ] SciFiction  
  94.       48   [ ] History                
  95.       49   [ ] Insanity
  96.       50   [ ] Drama
  97.        
  98.            NOTE: [*] Means Required Conference for Nodes.                        
  99.  
  100.       The NetHost (Paul Lauda), enjoys visiting many systems, 
  101.       and for purposes of that nature, please leave information 
  102.       in order for the Nethost to logon properly.
  103.  
  104.       Logon Name:________________________   Password:___________
  105.  
  106.     
  107.       Comments: ________________________________________________
  108.  
  109.       __________________________________________________________
  110.  
  111.       __________________________________________________________
  112.  
  113.       __________________________________________________________
  114.  
  115.        
  116.       [APPLICANTS WILL BE NOTIFIED WITHTIN 2-3 DAYS OF RECIEPT]
  117.  _____________________________________________________________________ 
  118. |                                                                     | 
  119. |  * FOR ADMINISTRATIVE USE ONLY - DO NOT WRITE IN THIS AREA *        |
  120. |                                                                     |
  121. |  Date Received:_________    Time Slot:___________    Hub:_________  |
  122. |                                                          _________  |
  123. |  Approved:______________    Status: [ ] Hub  [ ] Node   |         | |
  124. |                                                         |_________| |
  125. |_____________________________________________________________________|
  126.  
  127. ■ ANYTHING WRITTEN ON THIS APPLICATION IS CONFIDENTIAL TO THE NETHOST ■
  128.  
  129.                       REVISION SYSTEMS - PAUL LAUDA
  130.                   Fidonet Address 1:266/56@fidonet.org
  131.                         Rosenet: paul lauda@resy
  132.                        Internet: rn.4480@rose.com
  133.