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  1.                   IMAGINET MEMBERSHIP APPLICATION FORM 
  2.  
  3. log on IMAGINE BBS (819) 293-4981 and upload this completed file
  4.  
  5. Your Name:
  6. __________________________________________________________
  7.  
  8. BBS Name:
  9. ___________________________________________________________
  10.  
  11. BBS Software & Version:
  12. _____________________________________________
  13.  
  14. BBS Public Main Phone #:
  15. ____________________________________________
  16.  
  17. BBS City & State: ___________________________  Number of Nodes:
  18. _____
  19.  
  20. Modem Types and Speed Supported:
  21. ____________________________________
  22.  
  23. Length of Time Your BBS Has Been Operating:
  24. _________________________
  25.  
  26. Will you be transferring mail by:
  27.  
  28.    QWK [  ]    or   Mailer [   ]
  29.  
  30. (Information below is confidential):
  31.  
  32. Your Address:
  33. ________________________________________________________
  34.  
  35. Your City/Province - State/Postal code - ZIP:
  36.              
  37.              
  38. _______________________________________________________
  39.  
  40. Your occupation:
  41. ____________________________________________________
  42.  
  43. Home/Voice Phone Number: (____)_____-_________ 
  44.  
  45. Your DOB: _____________
  46.  
  47.  
  48.  
  49. "I have read the sysop agreements and I understand that any charges
  50.  
  51. for transfering mail is on my own responsibility."
  52.  
  53.  
  54.  
  55.  
  56. Your Name: _____________________________
  57.  
  58. Date:      ____________________
  59.  
  60.  
  61.               Conferences
  62.  
  63. Check the desired conferences...             
  64.  
  65.       Code Words          Conference Name                  
  66.     
  67.  
  68. [   ] IN-SYSOP            Reserved to SysOps
  69. [   ] IN-COLL             Collector's Corner
  70. [   ] IN-LEGEN            The great legends of rock 
  71. [   ] IN-ROOTS            The roots of R&R
  72. [   ] IN-R&B              Rock & Blues
  73. [   ] IN-POP              Pop music
  74. [   ] IN-ROCK             Rock music
  75. [   ] IN-SOUL             Soul
  76. [   ] IN-METAL            Metal Rock      
  77. [   ] IN-DANCE            Dance & Disco                
  78. [   ] IN-RAP              Rap
  79. [   ] IN-BEATL            The Beatles
  80. [   ] IN-HENDR            Jimi Hendrix
  81. [   ] IN-LDZEP            Led Zeppelin
  82. [   ] IN-PRESL            Elvis Presley
  83. [   ] IN-STONE            Rolling Stones
  84. [   ] IN-MOTOW            The Motown Era
  85. [   ] IN-FLOYD            Pink Floyd    
  86. [   ] IN-TOURS            Pop Festivals & World Tours
  87. [   ] IN-HIST             Important dates in history
  88. [   ] IN-ALTERNATIF       Alternative music (Nirvana, Offspring, etc...)
  89.