PLEASE WRITE ALL OF THIS OUT IN PEN, OR USE YOUR FAVORITE WORD PROCESSOR TO
PRINT IT, BUT YOU MUST SIGN *IN PEN* THE BLANKS THAT ARE PRESENT IN THIS FILE.
YOU MUST MAIL THIS IN, WITH A *MINIMUM* OF A **ONE MONTH** REGISTRATION FEE.

Send this to:
Darian Dixon     (MUST be Darian Dixon, not 'Metal Zone')
1629 Kidder Avenue Apt. E
Fairfield, Ca 94533

****
First & Last Name:
Date of Birth:           Age:
Alias:
Occupation:(you may leave this blank if you feel fit)

<fill in the blanks here>
  I, <name>, hereby request ADULT ACCESS to the Metal Zone BBS.  I have given
my true date of birth, thereby lifting any responsibilities that may fall onto
the SysOp regarding my authenticity as an adult and clearly stating that in the
event of any illegalities, I am solely responsible for my actions.


                                            <signature>
                                            <date>
****