Silicon Valley North - Account Application Form Last Name ___________________________ First Name ________________________ Business Name (if applicable) ____________________________________________ Mailing Address __________________________________________________________ City _________________________________ State __________ Zip ____________ Day Phone (___)_________ Eve Phone (___)___________ Fax (___)___________ Username (3 to 8 letters, This username @svn.net is your e-mail address) First Choice _______________________ Second Choice ______________________ Password (6 to 8 letters, numbers, or symbols) ___________________________ Operating System: MAC 9 or less ____ MAC OSX ____ WIN 95/98 or ME ____ WIN 2000 ____ WIN XP ____ WIN Vista ___ OTHER __________________________ Do you have a CD-ROM drive? YES ____ NO ____ Payment Method: CASH ____ CHECK ____ VISA ____ M/C ____ Card Number ______________________________________ Exp Date ____________ Card Security Code (3 digits): ______ * Account fees are $18.00 per month, billed quarterly ($54.00) in advance. * All renewal billing is done by e-mail. A renewal notice will be e-mailed 3 weeks prior to due date. * Accounts are for the use of the user only. Users will not allow others to use their accounts. * Bulk or unsolicited e-mailing or news postings are prohibited. * The user is allowed 30 megabytes of storage on the system. Storage beyond this will be billed at $1.00/megabyte/month. * The user is allowed unmetered connection time. Connections idle more than 15 minutes may be automatically terminated. This account is not to be mistaken as a full-time, "dedicated," connection. * Full terms and conditions are available at: www.svn.net/misc/terms.html SIGNATURE __________________________________________ DATE _______________ Please return completed application and payment via mail or fax to: Silicon Valley North, 1333 N. McDowell Blvd, Suite A, Petaluma, CA 94954 (707) 781-9999 (707) 781-9998 Fax