Old LLG Registration Form

LOJBAN REGISTRATION

 Name:  ___________________________________________________________________
 Street Address:  _________________________________________________________
 City, State, (Country), Zip:  ____________________________________________
 Home Phone:  ______________________  Work Phone:  __________________________
 Internet Address:  ____________________________________________________________________

 My primary interest(s) in Lojban are (check any that are applicable):
  ____  linguistics applications/theory  _____  computer applications
  ____  foreign language/linguistics education  _____ 'international' language
  ____  other:  ______________________________________________________________

 Activity Level:
  _____  I am not interested in further involvement. Please remove me from your active lists.
  _____  (Level B) Observer - (default)
  _____  (Level C) Active Supporter
  _____  (Level D) Lojban Student
  _____  (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