 NOTE: You may UPLOAD this application to our BBS if you are NOT requesting
       adult area access or mail it in, HOWEVER the registration fee must
       be received before actual mail transfers take place.


          Sysop Application for Data Comm International  ( DCI )

                       Day Time Voice Phone #___________________________

                          Night Voice Phone #___________________________


    Sysops Real Name:_______________________________________________

    Name of BBS: ___________________________________________________

    Mailing Address:________________________________________________

    City:__________________________State:__________Zip:_____________

    BBS Phone #'s ( give 2 ) ____________________  ___________________

    Existing QWK / REP Doors on your Board ___________________________

    Program you plan to use for Mail Transfers to DCI ________________

    Circle One: The Starter Kit - $2.50/month x 3 months......$7.50
    ^^^^^^
                The One Step    - $5.00/month x 3 months.....$15.00

                MultiNode Step  - $7.50/month x 3 months.....$22.50

                The Big Step   - $10.00/month x 3 months.....$30.00

                Giant Step     - $20.00/month x 3 months.....$60.00


    Enclosed is my application for access to DCI BBS and Internet/Usenet
    Newsgroups & E-Mail. I accept full responsibility for all mail sent &
    received from DCI & I understand that DCI is just a relay point for
    mail from & to the Internet. I know that DCI reserves the right to
    refuse access to anyone for any reason. I will hold DCI & Phil
    Marcello completely harmless for any mail not received & any loss
    resulting from an inability to provide this service or cancellation
    of this service. I am entitled to a refund of any unused portion of
    my registration if my access is terminated. I certify that I am 18
    years of age or older.

    _______________________________________________   ______________
      ( Signature Required )                            ( DATE )

    _______________________________________________   _______________
     ( if under 18 signature of Parent )                ( DATE )

   I may want access to Internet/Usenet Groups containing adult topics.
   I am enclosing a photo copy of my drivers license. I accept FULL
   responsibility for the mail on my BBS and who has access to it.
   I will require proof of adult age before allowing anyone access
   to Adult material on my BBS. I understand that DCI is a mail relay
   point only and is NOT responsible for the contents of any E-Mail.

   _______________________________________________   ________________
    ( Signature Required )                             ( DATE )

   Mail to :  Phil Marcello - DCI - P.O. Box 934, Methuen, MA 01844
   DO NOT SEND CASH - Checks & Money Orders Only payble to Phil Marcello
   $20.00 charge on any returned check.
