Capital Region Information Service of New York
For accounts questions, e-mail: accounts@crisny.org

Application for Schools Requesting CRISNY Account

To open a CRISNY account, please print and complete the following form.

School Name:

Elementary
Middle
H.S.

Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Tax Exempt Number:

Operating System:

Windows 95
Windows 98
Windows NT
Macintosh
Other

Your new CRISNY e-mail address :
(Select a name of at least six characters, lower case, e.g. bethlehs@crisny.org)

Name of account manager lastname, firstname:

Position:

Phone Number:

Address if different from above:

City:

State:

Zip Code:

Name of Teacher Trainer:

Phone Number:

Address if different from above:

City:

State:

Zip Code:

Please attach material describing the school and proof of tax exemption.

Attach a subscription form for each account.
click here for forms for additional staff accounts

On behalf of the organization indicated above, I apply for a $100 CRISNY School Building account and agree to abide by the CRISNY Information Provider Guidelines, keep our password secure, keep our information current, and encourage staff, and parents to become CRISNY subscribers.

Signature of person authorized to sign:

Date:

Position:

Phone Number:

To request additional copies of CRISNY/Knick.net brochure, write to: Times Union/Knick.net Internet Services, Box 15000 News Plaza, Albany, NY 12212, or call 454-5400. Indicate number of brochures requested. Please include a copy of any letters or other information you plan to send with the brochures.

Return this completed form to:

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