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Text File  |  1994-01-23  |  2KB  |  43 lines
  1.                           TEMPEST Network/Labs  BBS
  2.                           Supporting Member Application
  3.  
  4.  
  5.         Name: __________________________________________________________
  6.  
  7.         Address: _______________________________________________________
  8.  
  9.         City: _______________________________  State: ____  Zip: _______
  10.  
  11.         Phone:  Day ____________________    Night ______________________
  12.  
  13.         Logon Name: ____________________________________________________
  14.  
  15.         Password:   ______________________
  16.  
  17.  
  18.                                              KByte    
  19.                   Length              Min     Per     
  20.                     of      Sec       Per     Day     File
  21.           $$$    Subscrip   Lvl       Day   (2400B)   Ratio   Named
  22.           ---    --------   -------   ---   -------   -----   -------------
  23.     [ ]   Free   Perpetual  20 - 29    30      100     10:1   Verified User
  24.     [ ]   $25    1 Year     30 - 39    60     1000     25:1   Supporting-1
  25.     [ ]   $45    1 Year     40 - 49    90     2000     50:1   Supporting-2
  26.     [ ]   $20    1 Month    50 - 59   120     3000     NONE   Supporting-3
  27.     [ ]   $120   1 Year     50 - 59   120     3000     NONE   Supporting-3
  28.  
  29.                        Check one of the boxes above. 
  30.  
  31.  
  32.         Signed: _____________________________        Date: ____________
  33.  
  34.  
  35.                     Make check/ money order payable to 
  36.                     and mail form(s) to:
  37.  
  38.                           TEMPEST Network/Labs
  39.                           3124 Biggern Avenue
  40.                           Smyrna, GA 30082-2104
  41.  
  42.  LUD(01/23/1994)
  43.