âîáîœ  /´âØ
                                  Application


Alias                           :
Real Name                       :
Age                             :
Voice Number                    :
Data Number                     :
Years BBS'ing                   :
Do You have A BBS               : [ ] Yes
                                : [ ] No
If Yes Then What Is the number  :
E~mail address                  :
Web Site                        : http://

Why u wanna join

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send this to the house of madness with at least 3 of your best ansis...