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archive:bbs:pnbreg.frm
        This is to inform you that I wish to be considered for the
 following restricted areas on your bulletin board, Puss N Boots. I
 certify that I am over 18 years of age and am submitting a copy of
 my driver's license as proof.
        The areas that I wish to participate in are:
 ADULT        _____        (Place a check by the areas you want.)
 GAY/BI       _____
 TransGender  _____
                All users please fill out this bottom part.
 Name______________________________________________________________
 Address___________________________________________________________
 City, State, Zip__________________________________________________
 Home Phone________________________________________________________
 Data/Work Phone___________________________________________________
 Age/Birthdate_____________________________________________________
 Sex_______________________________________________________________
 Board Alias_______________________________________________________
 Board Password____________________________________________________
 Donation__________________________________________________________
 Comments__________________________________________________________
 __________________________________________________________________
 __________________________________________________________________
 __________________________________________________________________
 __________________________________________________________________
 __________________________________________________________________
 __________________________________________________________________
 __________________________________________________________________
                      Signature____________________________________
                      Date_________________________________________
       Mail this info to: Aaron Davis
                          1551 NW 19th Street #905
                          Grand Prairie, Texas 75050-2890
   Subcription Rates: 75 minutes with unlimited downloads
                      $20.....6 months one person
                       30.....6 months (two people in same household)
                       30.....12 months one person
                       40.....12 months (two people in same household)
                    100 minutes with unlimited downloads
                       $35.....6 months one person
                        45.....6 months (two people in same household)
                        45.....12 months one person
                        60.....12 months (two people in same household)



/home/gen.uk/domains/wiki.gen.uk/public_html/data/pages/archive/bbs/pnbreg.frm.txt · Last modified: 2000/11/04 16:02 by 127.0.0.1

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