Global Access (tm) [ WORLD-WIDE BBS DIALING NETWORK ] Global Access (tm) 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴 APPLICATION / AGREEMENT Account Information (Please Print Or Type) NAME: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� ADDRESS: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴 CITY: STATE: ZIP: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴 컴컴컴컴� 컴컴컴컴컴컴컴컴 Mailing Address (If Different From Above) ADDRESS: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴 CITY: STATE: ZIP: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴 컴컴컴컴� 컴컴컴컴컴컴컴컴 DAYTIME PHONE NUMBER: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� EVENING PHONE NUMBER: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� SOCIAL SECURITY NUMBER: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� Billing Method (Please Check One) 旼커 � � CHECK FREE - Send Us A Voided Check And We Will Draft Your Account. 읕켸 旼커 旼커 旼커 旼커 � � VISA � � MASTERCARD � � DISCOVER � � AMERICAN EXPRESS 읕켸 읕켸 읕켸 읕켸 ACCOUNT NUMBER: EXP. DATE: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴 컴컴컴컴컴컴컴 I have read the Terms and Conditions enclosed with this application, understand all the rates for the service, and agree to allow G-A Technologies / Global Access(tm) to charge the above payment method choice for use of the Global Access(tm) service at the rates enclosed. AUTHORIZED SIGNATURE: DATE: 컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴� 컴컴컴컴컴컴 $ 20.00 One Time Sign-Up Fee Mail To: 旼컴컴컴컴컴컴컴컴컴컴컴� � Global Access � � Post Office Box 31474 � � Charlotte, NC 28231 � 읕컴컴컴컴컴컴컴컴컴컴컴�