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Text File  |  1995-10-15  |  4.4 KB  |  86 lines
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  31.                                    ▐ ▌
  32.  
  33.               [T·h·e·F·L·a·m·o·o·t·s  A-N-D  T·h·e·D·a·r·k·V·i·s·i·o·n]
  34.  
  35.  
  36.  
  37. <<─────────APPLICATION─FORM───────────────────────────────────────────────────>>
  38.  
  39.   {■} SOME INFOS ABOUT YOU {■}
  40.  
  41.     ■ Your Real Name    : [··········································]
  42.     ■ Your Handle       : [······························]
  43.     ■ Your Age          : [····]
  44.     ■ Your Affiliations : [··········································]
  45.     ■ Your Voice Phone  : [······················]
  46.     ■ Your Interests    : [··········································]
  47.                           [··········································]
  48.     ■ Fax Numb.(If any) : [···························]
  49.  
  50.     ■ Mailing Adress    :  Street        [···································]
  51.                            Zip-City      [···································]
  52.                            State         [···································]
  53.                            Country       [···································]
  54.  
  55.   {■} BOARD INFOS {■}
  56.  
  57.     ■ Name Of The Board  : [·············································]
  58.     ■ Number Of          : * Nodes    : [···]
  59.                            * Users    : [·····]
  60.                            * Mb Online : [     ]
  61.     ■ Number(s)          : [·············································]
  62.     ■ Lowest Speed       : [·····]
  63.     ■ Maximum Speed      : [·····]
  64.     ■ Runnig On          : [····································]
  65.     ■ What networks do you currently carry ?
  66.       [······························································]
  67.       [······························································]
  68.     ■ Is It a demo Oriented Board ? [Y/N]
  69.     ■ Do You Have an Internet Account ? [Y/N] If Yes Email:[··············]
  70.     ■ How will you get our Releases ? [·····································]
  71.  
  72. <<─────────HOW─CAN─YOU─JOIN─US────────────────────────────────────────────────>>
  73.  
  74.     ■ You Can Fill Out This Form and Send It Back To :
  75.  
  76.                 · TetSuo    : +32-2-7725229 (Private U/L To Syz)
  77.                 · P.A. BBS  : +32-2-3461996 (Private U/L To Syz)
  78.                 · Via Email : Mail To llardin@is1.ulb.ac.be
  79.                                    or jcardin@is1.ulb.ac.be
  80.                                   
  81.  
  82.     ■ We Don't Need More Than One Dist /  Zone
  83.                               One HQ   /  Country (State For US)
  84.  
  85.  
  86.