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File List  |  1992-08-30  |  1KB  |  40 lines
  1.                             APPLICATION
  2.                             -----------
  3.  
  4.  
  5. Real Name: ___________________________________________
  6.  
  7. Handle: _____________________________
  8.  
  9. BBS Name: ________________________  & Number: _______________________
  10.  
  11. Address: _____________________________________________________
  12.  
  13. City: ________________________  State: _____________ Zip:____________
  14.  
  15. Home Phone Number: ____________________________
  16.  
  17. Age:_______________
  18.  
  19. Breif Description about your system:
  20.  
  21.  
  22.  
  23.  
  24.  
  25.  
  26.  
  27.  By signing below, I agree to all terms and conditions stated to me.
  28.  I am over the age of 18, and request to recieve the DoorNet
  29.  conferences. I fully understand that any violation to the rules and
  30.  regulations will result in automatic termination of my net status.
  31.  
  32.  
  33.  Signature: _________________________________ Date: _______________
  34.  
  35.  
  36.  Mail this form to:              DoorNet
  37.                                  Backdoor Communications
  38.                                  497 Queens Creek Rd.
  39.                                  Williamsburg, Va 23185
  40.