BBS 42 Subscription Form
Please Print Clearly     check all that apply
Phone (519) 824-6060
Fax     (519) 824-6860
New Renew Personal Corporate Info Change
Name :______________________________________________________________________

Address:____________________________________________________________________

City :____________________________________ Province:___________ Postal:___________

Phone (Home) :__________________________     Work: _____________________________

Age Over 18 Under 18 - Parent Guardian Contact _______________________
Operating System Win 3.1 Win 95 Win 98 NT Mac OS/2 Linux

Internet Login (username): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Alternate: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(for example: jqpublic; this becomes your email address: jqpublic@albedo.net) 16 character max, LOWERCASE ONLY!

Password: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(for example: aB96kX7q) Spaces are now allowed. Maximum 32 characters.
A combination of lower, uppercase letters, and numbers is best. NO years, words, slang, or names are allowed

Item DescriptionQuantity Unit priceTotal
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Subtotal:____________
7% G.S.T. (G.S.T. # 898601851RT)____________
Total:____________
Paid Via:______________________     Date:________________________________________

Internet Users must be 18 Years of age or have the signature of a parent or legal guardian. The User agrees not to use BBS 42's services to conduct any illegal activities or transport material that contravenes Canadian Federal, Provincial or local laws. The User agrees not to take part in any Mail Bombing, Multi Level Marketing, Chain letters, or Unsolicited Commercial E-mail (SPAM). All material placed on web pages must be suitable for viewing to all age groups and meet all Canadian laws as well as the standards of BBS 42. BBS 42 does not assume any responsibility for damages suffered by any person or entity due to loss of data, non-delivery or interruptions in service even if caused by negligence or omissions on the part of BBS 42, its users or any third party. BBS 42 reserves the right to refuse anyone access at any time, without reason, by refunding the unused portion of their subscription. Users suspended for contravening Canadian laws or violating BBS 42's AUP forfeit any unused portions of their subscriptions. Non-commercial accounts may not use their accounts for anything other than personal use.

I have read and agree to the above regulations:

Signature:______________________________________________   Date:______________