TAGLIST.FRM

                            List Addition Submission Form

Name (no handles, please):_____________________________________

FULL Phone number:_____________________________________________

Node number:___________________________________________________

Board name - AS YOU WANT IT PRINTED! (max 20 chars.)

_________________________________________________________________


Please check off the boxes that apply... (include ALL connect rates supported)
 
[ ] 1200 bps             [ ] v.32                 [ ] HST
[ ] 2400 bps             [ ] v.32bis              [ ] PEP
[ ] 9600 bps             [ ] v.42                 [ ] MNP
[ ] 14400 bps            [ ] v.42bis              [ ] CompuCom
[ ] 16800 bps            [ ] Hayes V9600          [ ] Locked port

Hours:

[ ] 24 hrs.     or     ______  to  ________