home *** CD-ROM | disk | FTP | other *** search
/ Beijing Paradise BBS Backup / PARADISE.ISO / software / BBSDOORW / PBF_101.ZIP / REGISTER.ZIP / REGSITE.APP < prev   
Encoding:
Text File  |  1995-07-22  |  3.8 KB  |  59 lines
  1.      ▄▄▄▄           ▄▄▄▄                  ╥──┐ ╓──┐ ╓──┐ ╥──┐ ╓──┐
  2.    ▄██████▄▄▄▄▄▄▄▄▄██████▄                ╟──┘ ╟──┤ ║  │ ║  │ ╟──┤
  3.    ██████           ██████                ╨    ╨  ┴ ╨  ┴ ╨──┘ ╨  ┴
  4.    ████▀             ▀████          ╓─┐ ╓──┐ ╥──┐ ╓─╥─┐ ╥ ╥ ┬ ╓──┐ ╥──┐ ╥──┐
  5.     █▀  ▄▄         ▄▄  ██           ╙─┐ ║  │ ╟─     ║   ║ ║ │ ╟──┤ ╟─┬┘ ╟─
  6.     █  ████       ████  █          ╙──┘ ╙──┘ ╨      ╨   ╙─╨─┘ ╨  ┴ ╨ ┴  ╨──┘
  7.     █  ████       ████  █
  8.     █  █████     █████  █
  9.     ▀█  ████     ████  █▀
  10.      █▄      ▀█▀      ▄█
  11.        ▀▀▀▀▄▄   ▄▄▀▀▀▀
  12.             ▀▀▀▀▀                      (c) 1994, 95 by IMC & Bing Wu
  13.  
  14.  
  15.      ╒═════════════════════════════════════════════════════════════════════╕
  16.      │░░░ Registration and Support Site form ░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░│
  17.      │░░░ Appication ░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░│
  18.      ╘═════════════════════════════════════════════════════════════════════╛
  19.  
  20. ┌------------------┬--------------------------------------------------------┐
  21. | Applicant's Name |                                                        |
  22. ├------------┬-----┴---------------------╥----------┬-----------------------|
  23. | Voice Phone|                           ║ Birthday |                                |
  24. ├------------┼---------------------------╨----------┴-----------------------┤
  25. | BBS's Name |                                                              |
  26. ├------------┼--------------------------------------------------------------┤
  27. | BBS's Type | ___ RA  ___ WildCat  ___ WWVI  ___ Other _________________   |
  28. ├------------┼---------------------╥--------------------┬-------------------┤
  29. | Data Phone |                     ║ Modem Type & Speed |                   |
  30. ├------------┴-------------------┬-╨--------------------┴-------------------┤
  31. | Applicant's Mailing Address    |                                          |
  32. ├--------------------------------┼------------------------------------------┤
  33. | Company and Title (if apply)   |                                          |
  34. ├--------------------┬-----------┴------------------------------------------┤
  35. | City, State, ZIP   |                                                      |
  36. ├---------┬----------┴------------------------------------------------------┤
  37. | Country |                                                                 |
  38. ├---------┴------------------┼----------------------------------------------┤
  39. | NetWork Address (if apply) |                                              |
  40. ├----------------------------┼----------------------------------------------┤
  41. | Session Password -Required-| += Eight Characters =+                       |
  42. ├--------------┴---┬--------------------------------------------------------┤
  43. | Operation System |                                                        |
  44. ├------------------┴----------------------------------┬---------------------┤
  45. | Experience in Registration, Support and Beta testing|                     |
  46. ├-----------------------------------------------------┘                     |
  47. |                                                                           |
  48. ├--------------------------------------------┬------------------------------┤
  49. | Experience in International Money Transfer |                              |
  50. ├--------------------------------------------┘                              |
  51. |                                                                           |
  52. ├----------------------┬----------------------------------------┬-----------┤
  53. | Signature [Required] |                                        | __/__/__  |
  54. └----------------------┴----------------------------------------┴-----------┘
  55.  
  56.   ■ By sign above, you (the applicant) agrees that all above information are
  57.     accurate and to best of your knowledge
  58.  
  59. @EOF[Revised On March 6, 1995]