old LLG Registration Form

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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:[email protected]]], or snail mail to

The Logical Language Group, Inc., 2904 Beau Lane, Fairfax VA 22031-1303 USA