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APPLIC.TXT
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1993-02-12
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Association of Shareware Authors and Distributors
1323 Garfield Avenue, Springfield, OH 45504
MEMBERSHIP APPLICATION
NAME _____________________ ______________ _________________________
(FIRST) (MIDDLE) (LAST)
COMPANY ___________________________________________________________
ADDRESS ___________________________________________________________
ADDRESS ___________________________________________________________
CITY __________________________ STATE ______ ZIP __________-_______
PHONE (_____) ___________________ FAX (_____) ___________________
PLEASE REGISTER ME AS:
GROUP FEE CHECK
----------------- --- ----- Check off each applicable
AUTHOR/Group $35 _____ group. Fee is based only
AFFILIATED MEMBER $35 _____ on highest rate. You will
BBS $45 _____ only be able to cast a
USER GROUP $45 _____ vote representing one
DISTRIBUTOR $65 _____ group of your choice.
ASADnet PRE-REGISTRATION FOR BBS ACCESS:
PASSWORD _____________________________
DATE OF BIRTH (MM/DD/YY) ____/____/____
COLOR ANSI SCREENS YES ___ NO ___
AUTHORS .... Please list programs you have written and will mail to
ASAD. Programs need to be received as soon as
possible after membership registration to ensure
prompt distribution.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
ADDITIONAL INFORMATION:
CompuServe Address _________,_______
Other Net Addresses _______________________________________________
_______________________________________________
_______________________________________________
COMMENTS OR SUGGESTIONS:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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SIGNATURE AND AGREEMENT:
Please register me as a member in the Association of Shareware
Authors and Distributors. My check for $____________ is enclosed.
I understand that I can only vote in one of the above groups of
representation and I select _____________________________________.
I understand that as a member of ASAD I must conduct myself in an
ethical and business like manner when dealing with the public and
within the shareware community. I further understand and agree
that any problems or complaints brought to the attention of the
ASAD committee regarding my activities will be responsibly
resolved.
DATE _____/_____/_____ SIGNATURE _______________________________