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SAINT JOHN FREE-NET MEMBERSHIP/USER FORM
MEMBERSHIP/USER TYPE
General User
Individual
MR.
MS.
MISS
MRS.
MADAM
M.
FIRST NAME
MIDDLE INITIAL
Last Name
TITLE
COMPANY/ORGANIZATION
ADDRESS
CITY/VILLAGE
PROVINCE/STATE
POSTAL CODE
COUNTRY
HOME PHONE
OFFICE PHONE
CELLULAR PHONE
FAX NUMBER
E-MAIL ADDRESS
E-MAIL ADDRESS 2
HOME PAGE
DATE OF BIRTH
ARE YOU 18 YRS OLD OR OLDER?
YES
NO
IF "NO" YOU MUST HAVE A PARENT OR GUARDIAN FILL OUT THE FOLLOWING SECTION TO GAIN FULL MEMBERSHIP INTO THE SERVICES OF THE SAINT JOHN FREE-NET INC.
PARENT/GUARDIAN PERSONAL INFORMATION
MR.
MS.
MISS
MRS.
MADAM
M.
FIRST NAME
MIDDLE INITIAL
Last Name
TITLE
COMPANY/ORGANIZATION
ADDRESS
CITY/VILLAGE
PROVINCE/STATE
POSTAL CODE
COUNTRY
HOME PHONE
OFFICE PHONE
CELLULAR PHONE
FAX NUMBER
E-MAIL ADDRESS
E-MAIL ADDRESS 2
HOME PAGE
DATE OF BIRTH
COMPUTER
RELATED
INFORMATION
DOS
MACINTOSH
WINDOWS 3.x
POWER PC
WINDOWS 95
UNIX/LINUX
WINDOWS NT
OTHER
MODEM SPEED/TYPE
2400 bps
9600 bps
28.8 kbps
56 kbps
Broadband/Cable
4800 bps
14,400 bps
33.6 kbps
t1/t2/t3/t4
OC3
INTERNET KNOWLEDGE LEVEL
NO KNOWLEDGE
BEGINNER
INTERMEDIATE
EXPERT
Please sign me up for the following Annual Membership/User Category:
$36 Individual Annual
$180 Non-Profit Annual
$240 Commercial Annual
General User
(No Charge)
$30 Individual ($10/3 mos.)
$195 Non-Profit ($16.25/12 mos.)
$264 Commercial ($22/12 mos.)
Associate Member (No Charge)
$195 Non-Profit ($65/4 qtr.)
$264 Commercial ($88/4 qtr.)
I have read, understood, and agree to abide by the
Saint John Free-Net Member/User Agreement
.
YES
NO
When you submit this application you will be sent a mandatory User Agreement Sign-Off Page, that must be signed and returned to us for you to become a user or member.
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© 1996 Saint John Free-Net Inc.