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Text File  |  1993-01-23  |  5KB  |  82 lines
  1.  
  2.                             DDN File Feed
  3.                        Standard APPLICATION FORM.
  4.  
  5.   ┌───────────────────────────────────────────────────────────────────┐
  6.   │DDN Membership                                            01/23/93 │
  7.   │                                                                   │
  8.   │ ■ The information below is CONFIDENTIAL and will not be released  │  
  9.   │   without direct permission of the DDN 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.   │Position applying for ........... [ ] - Hub/Co-ord      [ ] - Node │
  39.   │Running Under Subscription ...... [ ] - Yes             [ ] - No   │
  40.   │                                                                   │
  41.   │Where did you hear about DataNetLink ?                             │
  42.   │___________________________________________________________________│
  43.   │                                                                   │
  44.   │Give  a  short  one  line  description  about  your  board  which  │
  45.   │will appear in the description column in the nodelist.             │
  46.   │___________________________________________________________________│
  47.   │                                                                   │
  48.   │Do you echo with any other Networks.    [ ] - Yes      [ ] - No    │
  49.   │Collecting DDN files method.            [ ] - Non-Fido [ ] - Fido  │
  50.   │                                        [ ] - Mail                 │
  51.   │If by mail, which method would you wish [ ] - Option 1 [ ] - Tape  │
  52.   │                                        [ ] - Option 2             │
  53.   │If fido, FidoNet ID : _______________   [ ] - Yes      [ ] - No    │
  54.   │                                                                   │
  55.   │If yes, state the networks and addresses/System ID                 │
  56.   │___________________________________________________________________│
  57.   │                                                                   │
  58.   │___________________________________________________________________│
  59.   │                                                                   │
  60.   │                                                                   │
  61.   │Check where necessary :                                            │
  62.   │▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀▀                                            │
  63.   │                                                                   │
  64.   │Modem Type:[ ] .. HST      [ ] .. Hayes V9600  [ ] .. Intel 9600EX │
  65.   │           [ ] .. Smarteam [ ] .. GVC 9600     [ ] .. CompuCom 96  │
  66.   │           [ ] .. Telebit  [ ] .. MicroComm                        │
  67.   │           [ ] .. Others (Specify :                               )│
  68.   │                                                                   │
  69.   │Modem Standard : [ ] V.32    [ ] V.32bis   [ ] V.42    [ ] V.42Bis │
  70.   │                                                                   │
  71.   │Does your system Support 300 BPS Connections  [ ] - Yes   [ ] - No │
  72.   │Does your system Support 1200 BPS Connections [ ] - Yes   [ ] - No │
  73.   │                                                                   │
  74.   └───────────────────────────────────────────────────────────────────┘
  75.  
  76.    I, _________________  certify that the information provided above is
  77.    correct and accurate. 
  78.  
  79.  
  80.    _________________________                  ________________________
  81.    Your Name                                  Today's Date.
  82.