Show-Me Net Member Application

Show-Me Net

Name:  __________________________________________________
Address:  ________________________________________________
City:  _______________________  State: ______  Zip: ____________ 

E-mail Address: Indicate top three choices (Must be at least 2, but no more than 8 letters long)  Do not use more than 8 letters!  Show-Me Net will use this address when sending e-mail to members.

1st choice  ____________________ @showme.net

2nd choice   ____________________ @showme.net

3rd choice   ____________________ @showme.net
Examples: Sam943@showme.net

                JackJill@showme.net

                GWBush@showme.net                 

Phone #:   Home:  (573) ______ - ________   Work:  (573) ______ - ________

Employer:  ______________________________   Occupation:  ______________________

Have you had a Show-Me Net account in the past?  ____yes         ____no
If yes, name on the account was:  _________________________

Computer Information

Windows 95 ____
Windows 98 ____
Windows Millennium (ME) ____
Windows XP ____
Windows Vista ____
Windows NT/2000 ____
Macintosh ____
other (specify): ________________
Annual membership fee:  

_____ $100 for individual      check one
_____ $200 for 3 accounts

Extra e-mail addresses:
$20 each
Requested addresses:
______________________
______________________

Send with your check to: Show-Me Net Inc., PO Box 705, Jackson, MO 63755
or visit us at: 626 W. Main St., Jackson, MO  (no mail to this address, please)

Upon receipt of your application and check, we will mail you your password and set-up instructions.
For more information, call Show-Me Net's Help Desk (573) 204-1097, weekdays 8am-8pm, Sat. 9am-2pm
Please DO NOT call your local library with Show-Me Net questions.

Membership Agreement
I agree to be reasonable in my usage.  I will frequently check my Show-Me Net e-mail for important announcements.  I understand that my account will be disabled if it is used to send unsolicited commercial mail (spam), is used for any illegal purpose, or is spreading a virus.

________________________________________
Applicant signature

http://www.showme.net

This page was last modified February 5, 2007