- Use this form if you are signing up for netINS Hosting with Western
Iowa Telephone Ass'n.
- This service is provided by Western Iowa Telephone Ass'n. through
netINS. netINS provides documentation, support and service on all accounts.
All netINS Acceptable Use Policies are to be followed.
- To apply for your netINS Hosting account, complete this registration
form, sign it, and return it to Western Iowa Telephone.
Client Information: This should be the name of the
company/organization that is applying for the netINS Hosting Account.
Organization:
Address:
City, State, Zip:
Administrative Contact: This should be the name of
the person responsible for administration of the domain name, website
and /or email accounts.
Name:
Organization:
Address:
City, State, Zip:
Daytime Telephone:
FAX:
Email Address:
**We will send your account settings to this address*
Billing Contact: (if different) If bills for your netINS
Hosting account and/or bills for the domain name should not be sent to
the same person listed in the above section, list the person that bills
should be sent to here. This should be a person, not a department.
Name:
Organization:
Address:
City, State, Zip:
Daytime Telephone:
FAX:
Email Address:
Product Selection: Select the level of netINS Hosting
service you've decided on here:
Email Hosting Only - $8.99/month (10 email accounts with 50MB each of space*)
*Billing for netINS Hosting email accounts is based on the maximum number
of users you have added to the system at any one time over the course
of a month. In the event that you add no more email addresses than the
number allowed, you will be billed for the price listed above. If you
add additional accounts above the allotted amount, your account will
be billed $2.00 per month for each additional account. An invoice detailing
the largest amount of users you had activated for the billing period
will be issued monthly.
Account Configuration Information: Enter the domain
name for your netINS Hosting site in the server name blank. Some examples
of doamin names are: iastate.edu, apple.com, and netins.net.
Server/Domain Name:
I need netINS to register my new domain name:
Yes
No (Pick one)
How many years would you like to register your domain for?
$40
Yes
No
Western Iowa Telephone will charge you for use of a domain name registered
in the ".com", ".org", or ".net" top level
domains on your first bill. Renewal notices will be sent to your administrative
contact email address near the end of the term you have selected. Prices
subject to change. For more information about netINS domain registration
visit http://webhosting.netins.net/domainreg/. To check if the domain
you want is available, visit http://webhosting.netins.net/domainreg/cgi-bin/form.html.
Email: netINS Hosting provides at least 5 total email
addresses using your domain name. You can set up your email accounts
on an administrative web site that we'll provide for you. You'll be able
to use the username and password we provide to you to gain access to
the site and administrate your users. If you choose, we can point all
mail for your domain name at a different mail server (possibly one that
you operate in your office). If you have a mail server that you would
like us to forward your email to please name it here:
(mailserver.yourdomain.com)
netINS Hosting Terms and Conditions
1. By signing this registration form and agreement, you
(customer) agree to the following terms and conditions of the service
described below.
2. These services are provided by netINS, Inc., 4201 Corporate Drive,
West Des Moines, IA 50266-5906.
3. Technical support is available upon activation of your account.
4. All charges will be billed on your approved credit card as described
on the netINS Hosting Registration Form. If for any reason a posting
to your credit card is not accepted your service may be discontinued.
An additional registration fee as well as re-establishment of valid credit
will be required to re-establish service.
5. netINS, Inc. makes no express or implied warranty of any kind. There
is no express or implied warranty of merchantability or fitness for a
particular purpose for the services to be provided by netINS. netINS
makes no attempt to verify accurate receipt of any message and is not
responsible for any loss of data resulting from delays, nondeliveries,
incorrect deliveries or service interruptions, including those caused
by negligence, errors, or omissions of netINS, nor for consequential
damages regardless of their cause.
6. Customer agrees to comply with the terms governing use of the netINS
network, as they may change from time to time. Any changes to the terms
governing use of the netINS network will be posted as warranted on the
netINS computer system. http://www.netins.net/policy/
7. This agreement shall be governed by and construed in accordance with
the laws of the state of Iowa applicable to the contracts to be performed
entirely within the state.
8. Either party may terminate this agreement at any given time by giving
written notice. Such notice is effective when given. Customer is obligated
to pay for service through the termination date as detailed on the final
invoice.
9. By accessing and using the netINS computer system, user is consenting
to system monitoring for law enforcement and other purposes. Unauthorized
use of or access to this computer system may subject users to criminal
prosecution and penalties. User agrees to indemnify netINS against liability
for any and all use of user's account.
10. netINS reserves the right to refuse placing materials in this account
which may be deemed by netINS to be offensive to potential readers, or
which may be contrary to state and federal statutes. netINS reserves
the right to discontinue providing this service on your behalf for any
cause deemed sufficient by netINS.
11. By signing this agreement, you agree to absolve netINS 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 netINS
Your signature indicates: Acceptance of the "netINS
Hosting Terms and Conditions" (above) -- Agreement to pay for service
beginning on the day your account settings are provided to you -- If
yo have netINS register you domain name signature also signifies that
you've agreed to the domain registration terms available at http://webhosting.netins.net/domainreg/exhibita.html.
Signature:
Date:
A Signature is REQUIRED.
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