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                   ????????????????????????????
                   ?    Altered States BBS    ?
                   ?    Access Application    ?
                   ????????????????????????????

     In order to eliminate the problems of " Hackers, Twits, Dorks "
that attempt to cause problems on this System, and to adhere to State
and Local Statues ( for those wishing Adult Conferences and Files
Access ). All who wish Access to Altered States BBS Will have to fill
out this form TRUTHFULLY and COMPLETELY and Mail the Filled out Appli-
cation form to the address below:

                        Altered States BBS
                        58 W. Mendocino
                        Stockton, California
                                          95205
                        (209) 466-2604

            ALTERED STATES BBS USER RULES and REGULATIONS


    NO ONE MAY UPLOAD ANY COPY - PROTECTED OR NON - SHAREWARE TYPE
    OF PROGRAMS OR COPYRIGHTED PROGRAMS OR FILES INTO OR ON THIS
    SYSTEM.....

    NO " CHILD PORNOGRAPHY " OR " SNUFF - TYPE PICTURES OR FILES "
    ARE ALLOWED ON OR INTO THIS SYSTEM.

    YOU WILL NOT USE ANOTHER USERS PASSWORD OR LOGON FOR THE PURPOSES
    OF GAINING ACCESS TO THIS BOARD. OR GIVE YOUR PASSWORD OR LOGON
    INFORMATION TO ANY OTHER PERSON OR USER....

    THIS SYSTEM WILL NOT BE USE IN ANY WAY FOR CRIMINAL ACTIVITIES or
    FOR PURPOSES OF POLITICAL SUBVERSION...

    DUAL LOGON NAMES ARE NOT ALLOWED...

    NO DROPPING OF CARRIER TO LOG OFF THIS SYSTEM OR TO GET OUT OF
    DOORS WILL BE TOLERATED......

    NO POSTING OF SLANDEROUS OR OBSCENE OR DEFLAMORY LANGUAGE OR MESS-
    AGES ARE ALLOWED IN THE " GENERAL " TYPE CONFERENCES.. ( There are
    Special Conferences For this ).

    REMEMBER... YOU ARE A GUEST ON THIS SYSTEM and NOT A OWNER. YOU
    WILL TREAT THIS SYSTEM ACCORDINGLY.

    ANY VIOLATION OF THESE RULES AND / OR FOLLOWING RULES WILL RESULT
    IN TERMINATION OF YOUR ACCESS TO THIS SYSTEM... AND REPORTING OF
    THESE VIOLATIONS TO OTHER SYSOPS TO PROTECT THEIR SYSTEMS..

    ALTERED STATES BBS OR ANY OF IT'S AFFILIATES OR REPRESENTIVES AC-
    CEPT ANY RESPONSIBILITY FOR THE CONTENT OR THE USE OF PROGRAMS,
    MATERIALS OR FILES FROM THIS SYSTEM.


                            ( PAGE 1 )





                 ????????????????????????????????
                 ?      Altered States BBS      ?
                 ?    APPLICATION FOR ACCESS    ?
                 ????????????????????????????????

Please fill out Completely:


REAL NAME:_______________________________________________________

ADDRESS:_________________________________________________________

CITY:________________________     STATE:_________________ZIP:______

PHONE#:______________________    DATA PHONE#:______________________

AGE: __________                 D.O.B. ___________________

SEX: M  F                       PASSWORD: _________________________
                                     ( the one you Logged in under )


If you Desire an Alias / Handle Type Name for Conferences that support
that option enter the name you wish here:

Wanted Alias Name:  1st Choice:____________________________________

                    2nd Choice:____________________________________

Do YOU wish Access to The Doors ??                        YES

                                                          NO

Do YOU wish Access to the Adult Conferences and
Files Areas ?                                             YES

                                                          NO

If you wish Adult Access, then You Must send proof of AGE ( over the 
age of Eighteen ) and this application to the address on page one of 
this Document.

    I have Read the Rules & Regulations of Altered States BBS, and
I agree to abide by these rules.. I also have completed the Appli-
cation for Access, and understand that ALL INFORMATION GIVEN IN THIS
APPLICATION IS CONFIDENTIAL.. I request that the Sysop of Altered
States BBS Process this Application for Access..


Signed:________________________________________ Date:______________
         Your Name


Sysop:___________________ Approved               Date: _____________

OMISSIONS IN APPLICATION WILL DELAY APPROVAL OF ACCESS GRANTED
IF YOU HAVE ANY QUESTIONS YOU MAY LEAVE a " COMMENT TO SYSOP "
ON THE SYSTEM.. YOUR RESPONSE WILL BE FASTER.

Altered States BBS (209) 466-2604
                           ( Page 2 )