Application for Not-For-Profit Organizations Requesting a Knick.net Account

To open a Knick.net account, please complete the following form. (Please print)

Organization Name:

Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Tax Exempt Number:

(Your new account will not be processed unless this form accompanies a mission statement, proof of tax exemption, material describing your organization, and an outline of specific community service information your group will provide with your online account)

Name of Account Manager:

Position/Title:

Phone Number:

Address (if different from above):

City:

State:

Zip Code:

Operating System: (ex. Windows 95, 98, Mac OS 8.5, etc.)


I understand and agree that my not-for-profit account will cost $14.95 per month and will be billed on a monthly basis via one of the following credit cards: (please circle one)

VISA        MasterCard         Discover         American Express

Card Number:

Name on Credit Card:

Authorized Signature:

Create your personal logon ID:

This ID will be used to log you on to the Internet via Knick.net. It will also serve as the name for your email account. For example: John Smith's user id is jsmith. He will use jsmith to log on to the Internet and his email address will be jsmith@knick.net.

User ID must be at least six (6) characters:

1st Choice:

2nd Choice:

3rd Choice:

Password must be at least four (4) characters:

1st Choice:

2nd Choice:

3rd Choice:

Please mail this form to:

Knick.net
Times Union Internet Services
Box 15000, News Plaza
Albany, NY 12212

Questions? Call (518) 454-5400 or e-mail: info@knick.net