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  1. Please complete for membership:
  2.  
  3.                    RELAYNET (RIME) APPLICATION FORM
  4.  
  5. ARE YOU APPLYING FOR:    [ ] HUB STATUS           [ ] NODE STATUS
  6.  
  7. SYSOP'S NAME:_________________________________________________________
  8.  
  9. MAILING ADDRESS:______________________________________________________
  10.  
  11. CITY:____________________________  STATE:___________  ZIP:____________
  12.  
  13. VOICE TELEPHONE:______________________________________________________
  14.  
  15. IS THIS PHONE:  [ ] HOME       [ ]  BUSINESS
  16.    (whereever possible please provide a home phone number)
  17. IF A MEMBER OF THE STEERING COMMITTEE NEEDS TO CONTACT YOU VIA A
  18.  
  19. VOICE CALL, WHAT IS BEST TIME TO CALL?________________________________
  20.  
  21. BBS NAME:_____________________________________________________________
  22.  
  23. BBS TELEPHONE:________________________________________________________
  24.  
  25. NUMBER OF NODES:___________  MAXIMUM BAUD RATE:_______________________
  26.  
  27. NUMBER OF YEARS BBS IN OPERATION:_____________________________________
  28.  
  29. BBS SPECIALITY (IF ANY):______________________________________________
  30.  
  31. BBS SOFTWARE:_________________________________________________________
  32.  
  33. NODE ID DESIRED_______________________________________________________
  34.  
  35. HUB INTERESTED IN RELAYING WITH_______________________________________
  36.  
  37. SERIAL NUMBER_________________________________________________________
  38.  
  39. WHERE DID YOU HEAR ABOUT US?__________________________________________
  40.  
  41. HAVE YOU READ A COPY OF THE NETWORK BY-LAWS?       [ ] YES      [ ] NO
  42.  
  43. DO YOU AGREE TO THE ACCEPT THE NETWORK'S BY-LAWS?  [ ] YES      [ ] NO
  44.  
  45.  
  46. SIGNATURE:________________________________________  DATE:_____________
  47.  
  48. Please complete and return this form to:
  49.  
  50.                             Bonnie Anthony, M.D.
  51.                             6901 Whittier Blvd.
  52.                             Bethesda, MD 20817
  53.  
  54. FAX Number 301-229-7244
  55. Voice = 301-229-7028/7244
  56. Membership Fee = $25.00
  57. 
  58.