ADI Internet Solutions - Personal Web Site Registration Form
ADI Internet Solutions
Web Site Registration/Agreement
Your site will
not be formally activated until you print out
and mail a copy of this form along with your signature to the address below. You can type in the required information in any place that has a box, however the signature and date must be filled out by hand
Existing dial up customers may
register for one free web site.
Email Address:
Full Name:
Username:
* Web Site Name:
{ 12 characters or less }
*Your web site name
can be the same as your web site Username or it can be something completely different, but
is must be different then any of our current Personal Web Sites. The web site area name will appear
in the URL people use to find your web page. For example, if your web site area name were
"myfamily", the URL to your Worldwide Web homepage would be:
http://personal.adiis.net/myfamily.
now offers the ability for you to use Microsoft Front Page with your web
site. Front Page adds extra functionality that would otherwise require extra HTML
programming and CGI scripting. If you are not familiar with Front Page or are not sure if
you will use it, please check No - you can always have us enabled it at a later time.
Would you like your web site Microsoft Front Page enabled?
Yes No
One line of text is used to describe your site on 's User Free Sites page to point to your web site area.
Please provide the information you wish to have displayed.
Title:
Please describe the purpose and content of your
web site :
DISCLAIMER. , Inc. reserves the right to refuse
placing materials into the this WWW server, and related areas, which may be deemed by to be offensive to potential readers,
or which may be contrary to state and federal statutes. reserves the right to discontinue providing this service
on your behalf for any cause deemed sufficient by . By signing this agreement, you agree to absolve of any liability for the content and
distribution of materials placed in your area by yourself or any other persons or
entities. Any questions or disputes which arise in this regard must be corresponded in
writing to representatives of .
By mailing this form I agree to the above
stated information
I also understand that my site will not be formally activated until I
print out and mail a copy of this form along with my signature to:
PO Box
Marshalltown, Iowa 50158
Signature: __________________________________
Date: _______________
Print and Mail this Form,
then Click Here to return to the ADI Home Page.