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!THEFORM.DOC
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1993-08-20
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57 lines
Complete the Following Form (IN FULL). Sign it and Mail it back.
───────────────────────────────────────────────────────────────────────────
Name-------->:
Address----->:
CityStateZip>:
Age--------->:
Birthdate--->:
Homephone--->:
Modemphone-->:
Affiliates-->:
Purpose----->:
Employer---->:
Department-->:
Workphone--->:
AcceptCall-->:
I, <YOUR NAME> Swear that I am <YOUR AGE> years of age.
I, <YOUR NAME> am requesting access to Restricted sections on
<BBS NAME>. I fully realize that some files or areas may be
offensive to some and that the Adult area may contain sexually explicit
materials.
I will not hold the Sysop of <BBS NAME> responsible for any of the
materials contained on <BBS NAME>. I also agree that I will
not share or distribute any of the files obtained from <BBS NAME>
that are of ADULT theme to Minors.
I, <YOUR NAME>, swear that all the information contained in this form is
true and correct. If any misinformation has been included on this form
than I will be considered to be Criminally Trespassing this Computer
System and guilty of committing Fraud. Failure to devulge information
pertaining to legal affiliates will be construed as entrapment if any
legal action is taken against the system administrator at any time!
────────────────────────────────────────
Signature
****** A PHOTOCOPY OF YOUR DRIVERS LICENSE MUST ACCOMPANY THIS FORM *****
╒════════════════════════════════════════════════════════════════════════╕
│ IF you are, or have Ever worked for ANY Law Enforcement Agency or ANY │
│ Regulatory Commission of any sort, then you MUST Indicate that on this │
│ Form, explaining what Company or Agency, and what your purpose for │
│ calling this Bbs System is, OR, if you Report to ANY Regulatory or Law │
│ Agency or, Work for, or Report to any Software or Publishing Companies.│
╘════════════════════════════════════════════════════════════════════════╛
Use a seperate Sheet if you must to list your Affiliates,
As described in the above -Box- ..