History: Old LLG Registration Form

Source of version: 2 (current)

! LOJBAN REGISTRATION ~pre~ Name: ~np~___________________________________________________________________~/np~ Street Address: ~np~_________________________________________________________~/np~ City, State, (Country), Zip: ~np~____________________________________________~/np~ Home Phone: ~np~______________________~/np~ Work Phone: ~np~__________________________~/np~ Internet Address: ~np~____________________________________________________________________~/np~ My primary interest(s) in Lojban are (check any that are applicable): ~np~____~/np~ linguistics applications/theory ~np~_____~/np~ computer applications ~np~____~/np~ foreign language/linguistics education ~np~_____~/np~'international' language ~np~____~/np~ other: ~np~______________________________________________________________~/np~ __Activity Level__: ~np~_____~/np~ I am not interested in further involvement. Please remove me from your active lists. ~np~_____~/np~ (Level B) Observer - (default) ~np~_____~/np~ (Level C) Active Supporter ~np~_____~/np~ (Level D) Lojban Student ~np~_____~/np~ (Level E) Lojban Practitioner Email this form to [mailto:lojban@lojban.org], or snail mail to The Logical Language Group, Inc., 2904 Beau Lane, Fairfax VA 22031-1303 USA ~/pre~