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Text File  |  1992-07-12  |  2KB  |  55 lines

  1. Please complete for membership:
  2.  
  3.                    HANDY NET APPLICATION FORM
  4.  
  5. ARE YOU APPLYING FOR:    [ ] HUB STATUS           [ ] NODE STATUS
  6.  
  7. SYSOP'S NAME:_________________________________________________________
  8.  
  9. MAILING ADDRESS:______________________________________________________
  10.  
  11. CITY:____________________________  STATE:___________  ZIP:____________
  12.  
  13. VOICE TELEPHONE:______________________________________________________
  14.  
  15. IS THIS PHONE:  [ ] HOME       [ ]  BUSINESS
  16.    (whereever possible please provide a home phone number)
  17. IF A MEMBER OF THE HANDY NET NEEDS TO CONTACT YOU VIA A
  18.  
  19. VOICE CALL, WHAT IS BEST TIME TO CALL?________________________________
  20.  
  21. BBS NAME:_____________________________________________________________
  22.  
  23. BBS TELEPHONE:________________________________________________________
  24.  
  25. NUMBER OF NODES:___________  MAXIMUM BAUD RATE:_______________________
  26.  
  27. NUMBER OF YEARS BBS IN OPERATION:_____________________________________
  28.  
  29. BBS SPECIALITY (IF ANY):______________________________________________
  30.  
  31. BBS SOFTWARE:_________________________________________________________
  32.  
  33. NODE ID ______________________________________________________________
  34.  
  35. HUB INTERESTED IN RELAYING WITH_______________________________________
  36.  
  37. WHERE DID YOU HEAR ABOUT US?__________________________________________
  38.  
  39. DOES YOUR BBS KEEP EDUCATIONAL SOFTWARE?______________________________
  40.  
  41. DO YOU AGREE TO OBIDE ALL HANDYNET RULES?   [ ] YES [ ] NO
  42.  
  43.  
  44. SIGNATURE:________________________________________  DATE:_____________
  45.  
  46. Please complete and return this form to:
  47.  
  48.                             Brian J. Marx
  49.                             Handy Net Registration
  50.                             2705 1/2 Franklin Street
  51.                             Michigan City, IN 46360
  52.  
  53. Voice = H: 219-872-7880 BBS:219-873-1035/219-926-5443
  54. Please include a password so I can register you on my BBS.
  55.