APPLICATION FOR MEMBERSHIP
                IN PATRIOT NET

Name of Sysop (full):__________________________________

Age:__      Occupation:________________________________

Street Address:________________________________________

City, State, ZIP:______________________________________

Name of BBS:___________________________________________

BBS Phone Node1:(___)___-____       Node2:(___)___-____

Voice:(___)___-____

Todays Date:__/__/__

Date you will begin Polling for messages:__/__/__

Place "*" by bases you will carry:

      _ Firearms (PNFIREAR)
      _ Christian Patriots (PNCHRIST)
      _ Washington, DC (PNWAHSDC)
      _ Militias (PNMILITI)
      _ Alerts (PNALERTS)
      _ American Chat (PNAMERIC)
      * Sysops Echo (PNSYSOPS) <all must carry>



Please return as soon as possible to:

Kevin Shane (Minuteman)
The Patriot's Board BBS (810)693-6012 (819)693-3629

Or via:

Compuserve      73732,1033
Prodigy         MRSE99A
Internet        mrse99a@prodigy.com















Thanks for applying to Patriot Net. We hope you enjoy being a member.