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  AUTHORIZED GRAVIS NODE                                            02/10/93
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            ** APPLICATION FORM TO BECOME AN AUTHORIZED NODE **
         **** DEADLINE FOR THE FIRST 20 NODES IS FEB 28th 1993 ****
          ** THE SOONER YOU SEND THIS APPLICATION IN THE BETTER **

                                                        Date: ____/____/____

  SysOp's Name      :__________________________________

  Address           :__________________________________

                     __________________________________

  Province/State    :__________________________________

  Country           :__________________________________

  Postal/Zipcode    :__________

  Private phone     :__________________________________

  Your age          :__________

  BBS Name          :__________________________________

  BBS Phone Number  :__________________________________

  BBS Hours         : [ ] 24 hours   [_] Other: ___________________

  BBS Fido Address  : ___ : ______ / ______   (REQUIRED)

  Speeds Supported  : [_] 1200  [_] 2400  [_] 9600 V.32
   (place an X in     [_] 14400 V.32bis   [_] PEP   [_] HST
   applicable boxes)  [_] MNP   [_] V.42  [_] V.42bis

  Any extra flags   : [_] CM    [_] MO    [_] LO

  Modem Brand/Model : _______________________________

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  What name shall we use to logon to your BBS? _____________________________

  What password shall we use? ______________________________________________

  Anything special we should be made aware of? _____________________________

  __________________________________________________________________________

  __________________________________________________________________________

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  How many regular users does your BBS have :__________

  How many lines do you have on your BBS    :__________

  How large (in megabytes) is your BBS      :__________

  Does your BBS have a theme                : (Yes/No)

    If yes, what is it :___________________________________________

                        ___________________________________________

  Which geographic area does your BBS
  service (Country? State? Local?)    :____________________________

  What BBS software are you running?  :____________________________

  Which mailer software do you use?   :____________________________

  Which mail processor do you use?    :____________________________

  Do you own any Graivs products      : (Yes/No)

    If yes, which product :________________________________________

  Do you have a personal InterNET
    Account                           : (Yes/No)

    If yes, what is your Email address: ___________________________

  Are you a member of any other
    networks                          : (Yes/No)

    If yes, which   :______________________________________________

                     ______________________________________________

  Are you willing to serve as a Hub for your area      : (Yes/No)

    If yes, please  :______________________________________________
    list any prev-
    ious experience  ______________________________________________

  Are you willing to promote Gravis products in your area : (Yes/No)

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  Information Needed to establish Link!

    Session Level Password (front-end mailer):_____________________

    AreaFix Password                         :_____________________

    Tick/Raid Password                       :_____________________

    XMail Archive Method (Zip,Lzh,Arj,Arc)   :_____________________

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  If you have any suggestions, please write them on the lines below:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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 Filling out this form does not necessarily mean that you will be selected
 to become an authorized Gravis node.  However, we will still let you know
 of our decision either way within 2 weeks.


          Please rename this file to your fidonet node number
     (IE: 1153978.APP) and send it to any of the following addresses

         Fido: 1:153/978  InterNET: gravis.com  SBCNET: 13:900/3
        Advanced Gravis BBS, John Smith, (604)431-5927, 14400 V32b


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