-=štPoš=- Membership Request Form Do NOT be afraid to add more room. What are you appling to be (ANSi, Cracking, Agent, etc...) (You May list more then one.) ------------------------------- ------------------------------- ------------------------------- ------------------------------- BBS Info... Current Handle:_________________________________ Previous Handles:________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ BBS's Your On: Name Number Position _________________________ ______________ ________________________ _________________________ ______________ ________________________ _________________________ ______________ ________________________ _________________________ ______________ ________________________ _________________________ ______________ ________________________ _________________________ ______________ ________________________ _________________________ ______________ ________________________ Users You Know: ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ Users that you do not wish to know (Enemy's, etc...) ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ Current Affiliations: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Previous Affiliations: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Experience: How Long Have you Been Modeming?_________________________________ _________________________________________________________________ _________________________________________________________________ How Long Have you Been Pirating?_________________________________ _________________________________________________________________ _________________________________________________________________ Can you Crack? _______ If So, How Long? ________________________________________________ _________________________________________________________________ _________________________________________________________________ What are Some of Your Latest Cracks (if any)? ___________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Do you Hack/Phreak/Card etc. etc. etc.? ______ What specifically? ______________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Do you have any experience in ansi art? _______ If so, how much? ________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ (Please include some sample work if possible) Do you have any experience in VGA art? _______ If so, how much? ________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ (Please include some sample work if possible) What program(s) do you most often use to make your art work ? ---------------------------------------------------------------- --------------------------------------------------------------- Do you have any other skills which may prove useful to tPo? _____ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Personal Information: How many years have you been BBS'ing? ___________ What Brand and Model Computer are you using (or use most often?)? _________________________________________________________________ What other hardware do you use? _________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Software you Use Most often? ____________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Real Name: ________________________________ Address: ________________________________ ________________________________ ________________________________ Age: ______________ Date of Birth: __________________________ Brief Backroung Info? ___________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________