Application for PrivacyNet Membership ===================================== - Issue #002 (15/03/94) - The following application form should be completed with as much detail as possible and sent to the SysOp of the bulletin board that the form was obtained from. The SysOp will then forward the completed application form to the PrivacyNet Region Coordinator for processing. You will be notified as soon as possible as to whether your membership application has been accepted by the PrivacyNet Region Coordinator. If the application has been successful, your details will be added to the next PrivList. NOTES: * This application form must be returned via NetMail. * PrivacyNet Region Coordinators must forward a c/c of the recieved forms to Rich Tietjens @ 30:30/0.0. * GMT means Greenwich Mean Time. -*--8<---------------------------------------------------------------- * Office Use Only * | Application #: ___________ | PrivacyNet Address: 30:____/___.___@privynet.ftn | -*-----------------------------------------------+ 1.1 Relevant questions: 1.1.1 Do you agree that your system's name, approximate geographical location, modem details, name (or handle) and NodeList mailing flags are included within the PrivList, to allow distribution of electronic messages, files, and new issues of the PrivList itself? NO [ ] YES [ ] 1.1.2 Do you agree that your personal data, held within the PrivList, may be used by other PrivacyNet members as a mean to contact you via electronic mail, or to send PrivacyNet data files and programs to you? NO [ ] YES [ ] 1.1.3 Do you agree not to use any information appartaining to PrivacyNet in any criminal offense, as defined by the laws of the country you reside in? NO [ ] YES [ ] 1.1.4 Do you agree not to use any information appartaining to PrivacyNet in any criminal prosecution, as defined by the laws of the country you reside in? NO [ ] YES [ ] 2 PERSONAL INFORMATION: 2.1 System (BBS/Point's Name, e.g.: AutoBoss): ____________________________ 2.2 SysOp's full Name or Alias for use in the PrivList: ____________________________ 2.3 Handle on BBS (if used): ____________________________ 2.4 SysOp's date of birth: __/__/____ 2.5 Telephone numbers: 2.5.1 Modem * (public): +_______________ Hours __:__ __:__ GMT 2.5.2 Fax (public): +_______________ Hours __:__ __:__ GMT (*) Please use "-Unpublished-" if you are a Point/Pvt Node 2.6 Postal Address: ______________________________________________ ______________________________________________ ______________________________________________ 3 NETWORKING INFORMATION: 3.2 Desired Boss or Host/Hub for Mail: 3.3.1 BBS Name: _____________________________________________ 3.3.2 SysOp's Name: _____________________________________________ 3.3.3 His FidoNet Address (if any) _:_____/_____.___ 3.3.4 His PrivacyNet Address: 30:____/___.___ 3.3 Applicable networking addresses: 3.3.1 Desired PrivacyNet Address (if issued.): 30:____/___.___ 3.3.2 FidoNet Address (E.g. 1:234/56.23): _:_____/_____.___ 3.4 Applicable FidoNet information: 3.4.1 Your full FidoNet NodeList or fakenet/Pointnet entry (e.g.: ,123,PrivacyNet_Central_GB,Stockport,Daron_Brewood,44-61-429-9803, 9600,CM,XA,HST,V32b,V42b,PGP ): ______________________________________________________________ ______________________________________________________________ 3.4.2 You currently are: A Point [ ] A Node [ ] 3.4.3 Crashmailable (CM): Yes.... [ ] No.... [ ] 3.4.4 Mail Only (MO): Yes.... [ ] No.... [ ] 3.4.5 Does your system accepts file requests Yes.... [ ] No.... [ ] 3.4.6 Does your system support ALLFIX automated file location requests Yes.... [ ] No.... [ ] 3.5 Other Networks you link into: Network Name Network Address ------------ --------------- 3.5.1 Network 1: ____________________ ___________________ 3.5.2 Network 2: ____________________ ___________________ 3.5.3 Network 3: ____________________ ___________________ 3.5.4 Network 4: ____________________ ___________________ 3.5.5 Network 5: ____________________ ___________________ 3.5.6 Network 6: ____________________ ___________________ 4 TECHNICAL INFORMATION: 4.1 Hardware: 4.1.1 Computer Used: Atari ST/e/TT/Falcon..... [ ] Amiga.................... [ ] Apple (not Mac).......... [ ] IBM/clone................ [ ] Macintosh................ [ ] Other.................... [ ] 4.1.1.1 Make and Model (if Other): ___________________________________ 4.1.2 Operating System: ______________________________________ 4.1.2 Make and type of Modem: ______________________________________ 4.1.3 Maximum Baud Rate: 300 BELL [ ] 300 V21 [ ] 1200 BELL [ ] 1200 V22. [ ] 1200 V32 [ ] 2400 BELL [ ] 2400 V22B [ ] 9600.... [ ] 9600 HST. [ ] 9600 V32. [ ] 14400 HST [ ] 14400 V32B [ ] 16800 HST. [ ] 16800 ZYX [ ] 19200 PEP. [ ] 19200 HST. [ ] 19200 ZYX [ ] 38400 CPC. [ ] Other..... [ ] 4.1.3.1 Maximum Baud Rate (if Other): _______________________________ 4.1.4 Error Correction Protocol: None [ ] MNP 1/4 [ ] LAPM. [ ] V42. [ ] ASL.... [ ] Other [ ] 4.1.4.1 Error Correction used (if Other): ____________________________ 4.1.5 Data Compression Protocol: None [ ] MNP 5. [ ] V42Bis [ ] Other. [ ] 4.1.5.1 Data Compression Used (if Other): ____________________________ 4.2 Software: 4.2.1 Technology Available: CrossNet [ ] FidoNet... [ ] UUCP.... [ ] MausTausch [ ] Other..... [ ] 4.2.1.1 Technology Used (if Other): __________________________________ 4.2.2 Mailer: ________________________________________________ 4.2.3 Mail Tosser: ________________________________________________ 4.2.3.2 Multi-Zone Capable: Yes [ ] No [ ] 4.2.4 Desired Mail packet: ARCmail [ ] ARJmail [ ] LZHmail..... [ ] ZIPmail [ ] ZOOmail [ ] Unarced Mail [ ] 4.2.4.1 If LZHmail, bundles are to be: -lh1- [ ] -lh5- [ ] Other [ ] 4.2.4.2 If Other, please specify: __________________________________ 4.2.4.3 If ZIPmail, bundles are to be: Shrunk [ ] Imploded [ ] Deflated [ ] 4.2.4.4 If ZOOmail, bundles are to be: ZOO V2.01 [ ] ZOO V2.1 [ ] 4.2.5 BBS Software (Fill ONLY if you run a BBS): 4.2.5.1 BBS Program & Version ________________________________________ 5 NOTES: Any general information concerning your bulletin board, users, SIGs, your profession or hobbies, etc., that you would wish us to know: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 6 DECLARATION: I/We hereby agree to be bound by the policy rules and other documentation issued officially by the PrivacyNet International Association. 6.1 Full name/signature of applicant: _____________________________ 6.2 Date (today's date): __.__.____ ----8<---------------------------------------------------------------- 7 SESSION AND EVENTS: This part of the form concerns relations between the applicant and its Host/Hub so it is not to be forwarded, nor to the Region Coordinator, nor to any other Coordination Node. It must be cut off and kept by the Host/Hub whom the applicant has sent it to). Voice Telephone (confidential): _______________ Hours __:__ __:__ GMT (If you do not know your hours in GMT, please indicate time zone: ___) 7.1 Passwords: 7.1.1 Proposed Session Password: ________ (8 digits max) 7.1.2 Proposed AreaFix Password: ________ (8 digits max) 7.1.3 Proposed FileFix Password: ________ (8 digits max)