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