- United Couriers Application -

     If you would like to be a part of one of the oldest and most 
     respected groups in the PC and CONSOLE world then fill out this 
     application and return it to one of the numbers listed below.


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HANDLE: __________________________

REAL NAME: _______________________

VOICE PHOME NUMBER: (XXX)-XXX-XXXX

WHEN IS THE BEST TIME TO CONTACT YOU: ______

PAST/PRESENT GROUP AFFILIATIONS: _______________

TYPE/SPEED OF MODEM: ______________________

YEARS PIRATING: _____


3 BEST BOARDS YOU ARE ON: 
   
    __________________________
    __________________________
    __________________________

3 PEOPLE THAT CAN VOUCH FOR YOU:

    __________________________
    __________________________
    __________________________


DO YOU RUN A BBS: ___

    NAME: ________________________

    NUMBER: (XXX)-XXX-XXXX

    NUMBER OF NODES: ___

    NUP: ______________

    GROUPS AFFILIATED WITH: _____________________


 
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    Please rename this application [HANDLE].APP and return it either 
    to (818) 799-2129 under the account APPLICATION: password UNITED
    COURIER or (704) 543-4165 and leave feedback at the matrix. You 
    can also contact any member of UC on any of the HQ/Member boards.
    After returning the application you will be contacted by one of 
    the members within 48 hours.

                                      - DeathStalker