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  1.    
  2.                        TDS Internationl Network 
  3.                Door & Utility Developers APPLICATION FORM.
  4.  
  5.   ┌───────────────────────────────────────────────────────────────────┐
  6.   │Door/Utility Developers Application                       01/03/93 │
  7.   │                                                                   │
  8.   │ ■ The information below is CONFIDENTIAL and will not be released  │  
  9.   │   without direct permission of the TDS Administration.            │
  10.   │                                                                   │
  11.   ├───────────────────────────────────────────────────────────────────┤
  12.   │███████████████████████ Your Particulars ██████████████████████████│
  13.   ├───────────────────────────────────────────────────────────────────┤
  14.   │ Today's Date   :                                                  │
  15.   │ Your Full Name :                                                  │
  16.   │ Street Address :                                                  │
  17.   │ Zip/Postal Code:                                                  │
  18.   │ City & State   :                                                  │
  19.   │ Country        :                                                  │
  20.   │ Voice Home No. :                                                  │
  21.   │ Voice Work No. :                                                  │
  22.   │        Age/Sex :                                                  │
  23.   │     Occupation :                                                  │ 
  24.   │  Date of Birth :                                                  │   
  25.   ├───────────────────────────────────────────────────────────────────┤
  26.   │███████████████████ Bulletin Board Information ████████████████████│
  27.   ├───────────────────────────────────────────────────────────────────┤
  28.   │Bulletin Board Name :                                              │
  29.   │       No. of Nodes :                                              │
  30.   │          Number(s) :                                              │
  31.   │   Address/Location :                                              │
  32.   │               City :                                              │
  33.   │              State :                                              │
  34.   │    Operation Hours :                                              │
  35.   │Hold old is your BBS:                                              │
  36.   │State Software Used :                                              │
  37.   │         Version No :                                              │
  38.   │Running Under Subscription ...... [ ] - Yes             [ ] - No   │
  39.   │                                                                   │
  40.   │If a member of our administration wishes to login to you system,   │
  41.   │Please create an account under the name TDS NETWORK and the pass-  │ 
  42.   │word you have issued us is _________.                              │
  43.   │                                                                   │
  44.   │Where did you hear about our toll free BBS service ?               │
  45.   │___________________________________________________________________│
  46.   │                                                                   │
  47.   │Give  a  short  one  line  description  about  your  board  which  │
  48.   │will appear in the description column in the nodelist.             │
  49.   │___________________________________________________________________│
  50.   │                                                                   │
  51.   │Do you echo with any other Networks.    [ ] - Yes      [ ] - No    │
  52.   │Do you have a fido ID ? If yes, :______________________________    │
  53.   │                                                                   │
  54.   │Pleas tell us what doors or utilities or both have you written.    │
  55.   │                                                                   │
  56.   │___________________________________________________________________│
  57.   │                                                                   │
  58.   │___________________________________________________________________│
  59.   │                                                                   │
  60.   │___________________________________________________________________│
  61.   │                                                                   │
  62.   │Do you wish to have a support conference for your product/software │
  63.   │on our network ..............................................[   ] │
  64.   │                                                                   │
  65.   │If yes, name of Conference : _____________________________________ │
  66.   │                                                                   │
  67.   │Please  give  us  a  description  of your conference. You may also │
  68.   │upload/fax your description to our bbs separately.                 │
  69.   │                                                                   │
  70.   │Description of Conference  :_______________________________________│
  71.   │                                                                   │
  72.   │___________________________________________________________________│
  73.   │                                                                   │
  74.   │___________________________________________________________________│
  75.   │                                                                   │
  76.   │___________________________________________________________________│
  77.   │                                                                   │
  78.   │___________________________________________________________________│
  79.   │                                                                   │
  80.   │___________________________________________________________________│
  81.   │                                                                   │
  82.   │Check where necessary :                                            │
  83.   │▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀                                            │
  84.   │                                                                   │
  85.   │Your BBS                                                           │
  86.   │Modem Type:[ ] .. HST      [ ] .. Hayes V9600  [ ] .. Intel 9600EX │
  87.   │           [ ] .. Smarteam [ ] .. GVC 9600     [ ] .. CompuCom 96  │
  88.   │           [ ] .. Telebit  [ ] .. MicroComm                        │
  89.   │           [ ] .. Others (Specify :                               )│
  90.   │                                                                   │
  91.   │Modem Standard : [ ] V.32    [ ] V.32bis   [ ] V.42    [ ] V.42Bis │
  92.   │                                                                   │
  93.   │Does your system Support 300 BPS Connections  [ ] - Yes   [ ] - No │
  94.   │Does your system Support 1200 BPS Connections [ ] - Yes   [ ] - No │
  95.   │                                                                   │
  96.   └───────────────────────────────────────────────────────────────────┘
  97.  
  98.    I, _________________  certify that the information provided above is
  99.    correct and accurate. 
  100.  
  101.  
  102.    _________________________                   ________________________
  103.     Your Name                                   Today's Date.
  104.  
  105.    Please fax your completed application  form to us at (503)-686-5070.
  106.    You  may also upload this application form  to  The  PC  ToyShop  at
  107.    (503)-686-5055 (1:152/37) or mail this application form to :
  108.  
  109.    TDS International Network
  110.    P.O.Box 3092
  111.    Eugene, OR 97403
  112.    USA
  113.