           þþþ POiNT REGiSTRATiON FORM FOR DEMOGROUPS iNTERCHANGE þþþ
               ^^^^^
 1) Real name of operator  :[                                                 ]
 2) Alias/Group(s)         :[                                                 ]
 3) Name of point          :[                              ]
 4) Data # of operator     :[                    ] {international format}
 5) Voice # of operator    :[                    ]
 6) Location of point      :[                              ] {city, country}
 7) Modem used for point   :[                              ] Max Speed: [     ]
    (& the modem flags)      [ ] MNP [ ] V32 [ ] V32B [ ] V42 [ ] V42B [ ] V32T
                             [ ] ZYX [ ] HST [ ] Z19  [ ] H16 [ ] H21  [ ] VFC
                             [ ] V34 [ ] Other: 
 8) Mailer type used       :[                              ]
 9) Other net addresses    :[                                                 ]
                            [                                                 ]
10) Internet-address       :[                                                 ]
11) References             :[                                                 ]

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