
                  The Trauma Room! BBS SUBSCRIPTION FORM
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  Please remit $25.00 for a one year subscription to the BBS
               $15.00 for a 6 month subscription to the BBS


  You will receive 2 hours per day access, no file ratios, up to 10 meg.
  per day downloads,  fast login access.


  If you return a copy of your ID along with this form
  you will receive Adult files access, including the 1.5 Gig. of
  additional files available to subscribers only.

 ADULT ACCESS ONLY AVAILABLE WITH THE ONE YEAR SUBSCRIPTION!!!!!
  * No guarantees implied!!

          Please fill in Below and send along with your check
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NAME_________________________________________________________________________

STREET_______________________________________________________________________

CITY_________________________________________________________________________

STATE________________________________________________________________________

ZIP__________________________________________________________________________

AGE__________________________________________________________________________


IF APPLYING FOR ADULT ACCESS

 I am applying to The Trauma Room! BBS for access to sexually explicit
 material. I attest that I am over 18 years of age, and am sending a
 copy of my ID as proof of age. I will not hold The Trauma Room! BBS
 responsible for any harm imposed to\by me for receiving this material.


                            SIGNATURE____________________________________

                            DATE________________________


 If you are already a subscriber, and would like Adult Access
 Please fill this out, state that you are already a Paid subscriber and
 Mail it to :   David Mastrianni
                P.O. Box 2572
                S. Hamilton, MA  01982


