League 969 Application Form - Please Fill Out Completely

Send Completed Application to  :  pg@wasteland.darktech.org

Also, you may Apply Online by visiting our web site at
http://wasteland.darktech.org

( System Information (Required)

 BBS Name :
 BBS Telnet Address(es) :
    telnet://
    telnet://
 BBS Phone Number(s) :
    AreaCode (  )  Phone #   -
    AreaCode (  )  Phone #   -
    AreaCode (  )  Phone #   -
    AreaCode (  )  Phone #   -
 Website Address : http://
 FTP Site Address : ftp://
 Sysop's Handle :
 Modem / Connection Type :
 Number of Users :
 How Long You've Run this BBS For :
 Hours of Daily Operation :
    [ ] - 24 Hours / 7 Days a Week
    [ ] - Limited (From  To )

 Enter a Brief Description of your BBS to be used when displaying
  your Node's entry in the Online Member Database :

Line1 :
Line2 :
Line3 :
Line4 :
Line5 :
Line6 :
Line7 :
Line8 :


( Software Used (Required)

 BBS Software/Version :
 Frontend Mailer/Version :

( Personal Information (Required)

 Sysop's Real Name :
 Street Address #1 :
 Street Address #2 :
 City :
 Province / State :
 Postal / ZipCode :
 Country :
 Birth Date & Age :
 Birth Date :            Age :
 Your personal Email Address :
 Voice Phone : AreaCode (  )  Phone #

( Miscellaneous (Required)

 Do You Know How to Setup All Software Required? [ ] Yes [ ] No

 Do You Agree to the Regulations Stated in POLICY.DOC?  [ ] Yes [ ] No

 Does Your Country Allow Sending/Receiving Encrypted Data?  [ ] Yes [ ] No

 How Would You Like To Be Fed Through the Internet?  [ ] TransX
                                                      [ ] Internet Rex
                                                      [ ] FTP (Your Server)
                                                      [ ] BinkP (Your Server)
                                                      [ ] QWK

 Email Address for Transx and Internet Rex Transfers :

 Your Binkp Server address for BinkP Transfers :

 Your FTP Server address for Remote FTP Transfers :

 Would You Be Willing to be an Internet Hub?  [ ] Yes [ ] No

( Game Selection (Required)

 Which games would you like to join in League 969?

   [ ] BRE                  [ ] Lord v4.02a (InterLord v2.10)[
   [ ] FE                   [ ] Lord v4.02a (LORDNet v1.4i [w/UpdatedY2K EXE])
   [ ] TAL
                            [ ] Global War

   [ ] Clans                [ ] GAC Tournament BlackJack
       Village Name         [ ] GAC Tournament FreeCell
       ____________         [ ] GAC Tournament WaHoo

   [ ] 8-Way Slots
   [ ] Mega  Slots
   [ ] Zombi Slots


 Enter any other information/comments you would like to enter.
:
:
:
:
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Please send the above application to the email address listed below.

Send Completed Application to  :  pg@wasteland.darktech.org

Also, you may Apply Online by visiting our web site at
http://wasteland.darktech.org

Please fill out the application entirely.
