Account Contact and Billing Information [1]

Title/Name:  ______________________________________________________

Day phone:  ____________________  Night phone:  ___________________

Street Address:  __________________________________________________

City/State/Zip:  __________________________________________________

Email:  ___________________________________________________________

Type of Computer (circle one): Windows ( 10 8 7 Vista XP 2000, Apple Mac, Other (specify):

Domain Owner Information [2]

Organization:  ____________________________________________________

Street Address:  __________________________________________________

City/State/Zip:  __________________________________________________

Telephone: ______________________  Email: ________________________

Domain Name:  __________________________________ [3] check for availability

[   ]   Check here if you have already registered this domain.

Subscription Fee (circle one) $60/year. (US. Funds only)

User ID choices:  (16 characters max) [4]

(1) __________________ (2) __________________ (3) __________________

I acknowledge that I have read and understood the terms and conditions as set forth. If I am under 18 years of age, my parent's or guardian's signature is included to indicate their approval for me to have this account despite the fact that I may be exposed to objectionable material.

My signature: ______________________________ Date: ________________

Parent or guardian: ________________________ Date: ________________
(if under 18 years of age)

Mail this form (or a copy) with your check to:

SVPAL, PO Box 5052, San Jose, CA 95150

Conditions

Silicon Valley Public Access Link (SVPAL) is committed to a policy of free expression and free access to ideas.  SVPAL is committed to a policy of responsible use of the system that does not restrict others from using and enjoying the system.  To these ends, a user of Silicon Valley Public Access Link agrees to the following terms and limitations as a condition to use of the system.

You agree that the Board of Directors of SVPAL may, at its sole discretion, revoke the privilege of system use if the Board determines that the user has deliberately violated the Terms of Use.

Terms of Use

1. I will use SVPAL in a manner that is consistent with all applicable laws and regulations.
2. I will obey copyright and license agreements, and except for small quotes, will put copyrighted material on SVPAL only with written permission to do so from the copyright holder.
3. I will not disseminate on SVPAL information that is personal to others, such as credit card or social security numbers, nor will I disseminate communications that are clearly personal and private to others.
4. I will not share passwords.  All accounts are individual accounts.  Each user must have his own account on the system.
5. I will not attempt to gain unauthorized access to SVPAL, nor use SVPAL to gain unauthorized access to other systems.
6. I will not flood the system or individual users with unsolicited email.
7. I will not use SVPAL to publish libelous or slanderous material, or engage in any action that restricts or inhibits others from enjoying the system.
8. I will use SVPAL so as to respect the privacy and personal rights of others.

I Agree to these terms, and with others that SVPAL may publish in the future.

Notes

[1] This information is used by SVPAL for billing and maintenance of this account. This information is only used by SVPAL staff. You should list the email address SVPAL should use to contact you about billing or other matters. If you leave this field blank, then your SVPAL email address will be used to contact you.

[2] This information identifies the legal owner of the domain. It is published in the Internet Domain Registry and is publicly accessible. A telephone number and email address are optional. You can leave this section blank if the domain is already registered.

[3] Use the link check for availability to find an unused domain name or to check on your domain name's current registration.  SVPAL will register your domain name for you and pay the annual domain registration fee each year as long as you remain our customer.

[4] Please enter your first three choices for a User ID for the account. The User ID is the name you will use to log onto SVPAL and it will be your SVPAL email name. You may use any combination of three (3) to twenty-four (24) lower case letters and numbers - however, it must begin with a letter. Please make alternate choices in the event your first choice is not available. User ID examples are: myorg, brkclub, pasta.