Labels:text | screenshot OCR: Leper' society information form this infoform is used for validation purposes only. you can be reasonably assured that we will do all in our power to keep this information confidential. please note that the only person in leper society who has access to the infoforms is phorce phed, the president and founder. what .. . is your name? what .. . is your quest? what ... is your favorite color? what. . . movie were the past five. .. er, three questions from? your nym (s) : your group association(s): position(s) applying for: ansi artist uga artist coder mod composer other (specify) : year(s) drawing ansi : are you the sysop of a bbs? yes no if yes, what is/are the year (s) drawing uga : name : number (s) : year (s) coding : nup : if no, fill in the information of a bbs you call year (s) composing : what is your full address? year (s) doing "other": voice phone number and best times to reach you: where did you get the ansi pack that this infoform came in? comments or any special information: once filled out, zip this application in with some samples of your work, call the x-factor [616]38-111-24, and upload the zip in an email to phorce phed by using /u while editing the message. you will be contacted within a week.
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