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  1.                                                 
  2.                                                      BBS Adult Verification Form
  3.                                                           Memberships Available
  4.  
  5.                                  Adult                Minutes                Number                 MB per                Total #                Total MB    
  6.                                  Access            per day                of days                  day                        of files                of data                  Cost
  7. _______________________________________________________________________
  8. Level 10          No                   30                            unlimited              .5                               50                        unlimited      FREE    
  9. Level 20      Yes                   30                                   10                          .5                               20                               15                       FREE    
  10. Level 30      Yes                   30                                   30                           1                               50                               30                       $10    
  11. Level 35      Yes                   45                                   75                          2.5                           100                          125                      $35    
  12. Level 40      Yes                   60                                   90                           5                               300                          460                      $50    
  13. Level 50      Yes                     60                                  180                       10                              700                          1800                  $100    
  14. Level 60      Yes                   60                            unlimited        unlimited        unlimited            unlimited             $300    
  15. _______________________________________________________________________ 
  16.  
  17.  
  18. Name ___________________________________________ Phone #_________________
  19.  
  20. Name on BBS (If different) |__________________________________________________
  21.  
  22. Street Address  ___________________________________________________________
  23.  
  24. City, State and Zip _________________________________________________________
  25.  
  26. Membership requested   ___#L20  ___#L30  ___#L35  ___#L40   ___#L50    ___#L69
  27.  
  28. Amount Paid  $$________________  Referred by _________________________________  
  29.  
  30.  Visa    MC    Discover  Card #____________________________________ Exp (           )
  31.  
  32. Enclosed is my    Check or   Money order paid in U.S. funds.
  33.  
  34. I am over 21.  Signature: _____________________________________________________
  35.  
  36.       ___Yes            ___No   Do you want to be on the Starware mailing list?
  37.  
  38.       ___Windows   ___Macintosh
  39.       
  40.    Mail to:  Starware Publishing Corp
  41.      Department 40
  42.      P.O. Box 4188
  43.      Deerfield Beach, Florida, 33442
  44.  
  45.                 ADULT ACCESS WILL BE DENIED UNLESS STARWARE RECEIVES A COPY OF YOUR DRIVER 
  46.                                   LICENSE WHEN FAXING YOU MUST ENLARGE THE COPY!  IT MUST BE LEGIBLE! 
  47.                                                                             FAX (305)426-9801    Voice (305)426-442      
  48.  
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