K N I G H T S    O F    T H E    R O U N D    T A B L E

/\pplication Form

User Handle...................|
Real First and Last name......|

Home/Voice Number.............|
Group Affiliations............|
Modem Type and Max. Baud Rate.|

Where are you applying for?

Courier [ ]  Memberboard [ ]  Dist. Board [ ]
Cracker [ ]  Supplier    [ ]

Board References

User References

Sysop References

Do you have any contact with Software Companies..........[Y/N]
Do you have any contact with Telecommunicaton Companies..[Y/N]

Any comments to the Staff before we call you voice and discuss

Upload this application with your own NAME.APP Private to
The Gravestone
[CHQ] or to Bedlam [WHQ/313-699-2718].