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Text File  |  1992-10-13  |  1KB  |  44 lines
  1.                                Application Form  
  2.                       For Sysops To Request Credit Report
  3.  
  4. Full Name:_____________________________________________________________________
  5.  
  6. Street Address:________________________________________________________________
  7.  
  8. City:___________________________________________ St:______   Zip:______________
  9.  
  10. Home Phone:_____________________________ Work Phone:___________________________
  11.  
  12. BBS#:_____________________________ Fax#:_______________________________________
  13.  
  14. How Many Users Do You Have Today:____________  Active Members:_________________
  15.  
  16. Do Run A Charge BBS:____________   How Much Do You Charge:_____________________
  17.  
  18. Are Carring ENN:________________   Are You Carring RTO:________________________
  19.  
  20. What Echo Mail Conference Do You Carry:________________________________________
  21.  
  22. How Much Do You Want To Charge Users For Credit Reports: $_____.___
  23.  
  24. Please Give Use The Name & Address To Make Check Payable To:
  25.  
  26.  _______________________________________________
  27.  
  28.  _______________________________________________
  29.  
  30.  _______________________________________________
  31.  
  32.  _______________________________________________
  33.  
  34.  
  35.  
  36.  
  37. Do not write below this line
  38. ===============================================================================
  39.  
  40. Processed By:__________________________   Date:|_____|______|______|
  41.  
  42. Customer ID#: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
  43.  
  44.