*** AtariNet Application ***
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| Please complete this application to the best of your ability.  If you don't |
| know the answer, or if the requested information does not apply, leave the  |
| space blank.  When complete, rename application to F_LAST.APL, where F is   |
| your first initial and LAST is as much of your last name as will fit, and   |
| send it to the appropriate RC or Host, as found in the included AtarList.   |
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| By completing and returning this application, you are stating that you have |
| read ATARINET.POL and understand and agree to conform to this policy.       |
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| Your Real Name:                                          | Date:            |
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| BBS Name:                                           | BBS Hours:            |
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| BBS Phone Number:                    | Voice Phone Number:                  |
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| Street Address:                                                             |
| City          :                                                             |
| State, Zip    :                                                             |
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| Front-End Mailer:                    | Mail Processor:                      |
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| Modem Make/Model:                                    | Maximum BPS:         |
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| Nodelist Flags (CM,XA,HST,V32,etc.):                                        |
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| FidoNet Address:                     | NeST Address:                        |
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| Applying for:  [ ] RC   [ ] Host   [ ] Hub   [ ] Node   [ ] _______________ |
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| Session/AreaFix/FileFix Password(s):                                        |
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| Compression:  [ ] ARC   [ ] LZH -lh1-   [ ] ZIP Implode                     |
| (choose one)            [ ] LZH -lh5-   [ ] ZIP Deflate                     |
|-----------------------------------------------------------------------------|
| Computer Hardware:                                                          |
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|     Anything Below This Line Is Not Intended For Applicant To Complete      |
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| Node Number Assigned :                                                      |
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| Hub Assigned         :                                                      |
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| Assignment Date      :                                                      |
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