Sysop Name (Only real name allowed):

System Name

Mailer Type yu using

Feedig you can use :

Voice Phone number :

Data Phone Number :

Post Mailing Address (Street + No.) :

Town + State

Country :

Your Email Address

You InterNet IP Address (00.00.00.00) :

Your BinkP Hostname :

Is Your appliying as Node/Host/RC :

Prefered Uplink (Host/RC/ZC) :

Your FidoNet Nodenumber :

Your Software :

BinkP domain :

Your Nodelist Flags or Modem Type :

Your Prefered Password to use.

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