Please provide your full name, any nickname, your BBS name, your BBS IP address or host name, your email address and the first 11 digits of your Grail numbers. The only required information is the first 11 digits of your Grail numbers. You do not have to provide any other information, however it would be nice if you tell us something about you and your BBS.

Full name            
Nick name            
BBS name             
BBS IP or host name  
Email address        
Grail Numbers