Show-Me Net Member Application |
|
| 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 |
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 |
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 |