| Last updated 7/11/97 |
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Capital Region Information Service of New York
For accounts questions, e-mail: accounts@crisny.org
To open a CRISNY account, please print and complete the following form.
Agency or Division Name:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Tax Exempt Number:
Your new CRISNY e-mail address :
(Select a name up to eight characters, lower case, e.g. schdyco@crisny.org)
Name of Account Manager:
Position:
Phone Number:
Address if different from above:
City:
State:
Zip Code:
Operating System:
Windows 3.1
Windows 95
Windows for Workgroups 3.11
Windows NT
Macintosh
UNIX
DOS
Other
Please attach mission statement, and material describing organization
Agreement: On behalf of the organization indicated above, I apply for a CRISNY account. We agree to abide by the CRISNY Information Provider Guidelines, keep our password secure,and keep our information current.
Authorized Signature:
Date:
Title:
Phone:
The Free Government Account is designed to help localities promote their community activities and resources. We will review Government accounts 60 days from the start date. If no information is posted, we reserve the right to revise the terms of this agreement.
(optional) Number of additional accounts for staff members:
Fee schedule for individual accounts available online or in CRISNY brochure. If payment is by organization, provide credit card number, check or purchase order for total amount due, and mark each subscription form "Paid by [Name of Organization]". If individuals are paying by check, please include start-up fee.
Mail this form to:
CRISNY Subscriber Services
LC-SB 33A
University At Albany
1400 Washington Avenue
Albany, NY 12222
Additional CRISNY brochures are available upon request. Please keep some in your office!