DATALINK USER LIST ================== Form 1.01 Instructions: ============= 1: Complete the information below (completely) for each user/caller who has used a bad charge card or check. 2: If you are supplying information about the User/SysOp for the first time be sure to check the "New User/Sysop" box. If the information is an update on a previous or current User/Sysop check the "Updated Information" box. 3: Trim the file down to the last NEW USER/SYSOP or Updated Info entered. Section I: Your Name: BBS System: ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #1 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #2 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #2 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #3 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #4 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #5 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #6 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #7 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #8 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #9 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #10 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #11 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #12 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #13 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #14 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- Section II: ( )New User/SysOp ( )Updated Information #15 Name: City, State: Is this a SysOp: ( )No ( )Yes [If yes, complete the following marked *] * BBS Name: * BBS Phone Number: Used: Charge Card ( ) Check ( ) Amount $___.__ Result: Declined ( ) Over-there-limit ( ) Insufficent Funds ( ) Did the User/SysOp receive services or products by using this bad charge or check? ( )Yes ( )No [If yes, complete Section III below] Section III: Have the services or products received by the User/SysOp been paid for yet? ( )Yes ( )No If yes, how? ( )Check ( )Money Order ( )Charge Card ----------------------------------------------------------------------------- ** END **