Music Net Node Application Form
                        -------------------------------

             Your Name: _________________________________________
    Voice Phone Number: (   )    -    
       Mailing Address: _______________________________
                  City: _______________________________
                 State: _______________________________
                   ZIP: _____-____

              BBS Name: _______________________________
      BBS Phone Number: (   )    -
             BBS Hours: _______________________________
          BBS Software: _______________________________  Version: ______
    Echomail Processor: _______________________________  Version: ______
      Front End Mailer: _______________________________  Version: ______

    Approx. # of Users: ______
    
     Crashmail Support: [ ] Yes   [ ] No

           Modem Brand: [ ] US Robotics HST
                        [ ] US Robotics Dual Standard
                        [ ] Hayes
                        [ ] CompuCom
                        [ ] Microcom
                        [ ] Telebit
                        [ ] Supra
                        [ ] ATI
                        [ ] Other: ____________________

         Max Baud Rate: [ ]  1200 
                        [ ]  2400
                        [ ]  4800
                        [ ]  9600
                        [ ] 14400
                        [ ] 16800
                        [ ] 28800

       Modem Protocols: [ ] None
                        [ ] v.32
                        [ ] v.32 bis
                        [ ] v.42
                        [ ] v.42 bis
                        [ ] MNP
                        [ ] PEP
                        [ ] Other: ____________________

  Are you applying for: [ ] Fido-style Format (preferred)
                        [ ] .QWK Packet style

  How should we notify: [ ] Netmail  Fido Address: ____________ 
  you of your node      [ ] Message on Maritime Online BBS
  address?              

  Are you a member of any other echomail networks?  [ ] Yes   [ ] No
  If so, please list with your addresses:

        Network Name            |       Address
  ---------------------------------------------------------------
                                |
                                |
                                |
                                |
                                |
                                |
  
  Please select the conferences you would like to carry:

  Conf Tag      Description                             Yes   No
  -------------------------------------------------------------------------
  MN_MIDI       MIDI                                    [ ]   [ ] 
  MN_SB         Sound Blaster                           [ ]   [ ] 
  MN_ADLIB      Adlib                                   [ ]   [ ] 
  MN_ROLAND     Roland                                  [ ]   [ ]
  MN_JAZZ       Jazz Discussion                         [ ]   [ ]
  MN_ROCK       Rock Discussion                         [ ]   [ ]
  MN_CLASSIC    Classical Discussion                    [ ]   [ ]
  MN_RAP        Rap Discussion                          [ ]   [ ]
  MN_R&B        R & B Discussion                        [ ]   [ ]
  MN_HEAVY      Heavy Metal Discussion                  [ ]   [ ]
  MN_MCOMP      Musical Composition                     [ ]   [ ]
  MN_ORCH       Musical Orchestration                   [ ]   [ ]
  MN_HMT        Hot Musical Trends                      [ ]   [ ]
  MN_TIPS       Musical Tips                            [ ]   [ ]
  MN_PERFORM    Performances                            [ ]   [ ]
  MN_NEWAGE     New Age Discussion                      [ ]   [ ]
  MN_COUNTRY    Country Discussion                      [ ]   [ ]
  MN_ADS        BBS Ads                                 [ ]   [ ]

  Would you be interested in being a local hub?  [ ] Yes   [ ] No

  Please select a password for Connection Security.  For those using
  Fido format, this password will be used for AreaFix requests.  Those
  using .QWK format, this password will be what you will use to sign
  onto your hub for mail.

  Password: ______________

  Those using the .QWK format, we need a sign on name to set up the
  system so that you may poll for mail.  This should resemble your
  board's name.  The second name (your choice should be only one word)
  is always BBS.  For example the Software Connection would have 
  Software BBS or Techno BBS would have Techno BBS.

  User Name: ______________ BBS

  Please complete this form and foward it to either the network HOST
  closedt to your location or the following system:

                        Maritime Online BBS
                          (215) 622-3569
                      Lansdowne, Pennsylvania
                         Sysop: Biff Webb

                        Fidonet: 1:2614/409
                      Music Net: 28:100/101