the 5th.. 1997

membership application form

full name  [...................................]
handle [...................................]
address [...................................]
[...................................]
[...................................]
telephone number  [(+...)....-....]
age [..]
abilities :
ansi[.]
ascii  [.]
rip[.]
vga[.]
lit [.]
other  [.]

if other, specify [...................................]
[...................................]
[...................................]
[...................................]
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