NINNYNET NETWORK APPLICATION FORM
              
BBS name? __________________________

SYSOP'S name? ___________________________________

Your STREET address? ________________________________

Your CITY? _________________________

Your STATE? __

Your ZIP CODE? _____-____

Your BBS phone #? (____)______-_________ 

Your VOICE phone #? (____)_____-_________

What SOFTWARE & VERSION are you using? ______________________

What BRAND of modem are you using? __________________________

What BAUD RATES do you support:
        
        1. 300   ( )
        2. 1200  ( )
        3. 2400  ( )
        4. 4800  ( )
        5. 9600  ( )
        6. 14400 ( )
        7. 16800 ( )
        8. All the above ( )

What networks are you currently carrying? ____________________________________


How did you hear about NINNYNET? ____________________________

SYSOP'S Signature: ________________________    Date: __/__/____


Return to:

Connie McGeathy
Late Nite BBS
35 A Silver St
Rochester , NH  03867