Broadcast Net - Free Bnet E-Mail Addresses

Free E-Mail Vanity Address Request Form

PLEASE READ THIS IN ITS ENTIRETY!

Broadcast Net and its supporters are happy to offer FREE "Alias" E-Mail account s to broadcasters and broadcast industry related individuals. Alias means that it is a valid address where you can receive E-Mail, through automatic forwarding to your existing personal E-Mail account with your present provider. Tell your friends and business associates that your new E-Mail address is youname@broadcast.net. You will not be able to SEND mail through Broadcast Net, but you can list the broadcast.net address as your return or contact address. You won't have to change anything on your end to RECEIVE your mail from the Broadcast Net E-Mail account. Just provide us with your personal information and the address where presently receive your E-Mail, below.

By filling in the information below, you agree to not use the address for any illegal or unethical purposes and understand that Broadcast Net is not responsible for any damages as a result of utilization of this E-Mail address and/or account . Broadcast Net has a stringent NO SPAM policy and violators account will be immediately terminated and provider notified of the activity . In some instances, violators will be prosecuted.

You further understand that Broadcast Net will use the address to keep you periodically informed of new products, services and features on the web site and of the advertisers on BNet. The actual address list will NOT be made available to our advertisers or anyone else. All outgoing promotional information will be distributed ONLY by Broadcast Net through a restricted access list server. We will not be flooding your mailbox with trash.

You may have the address removed FREE at any time, but there is a $10 service charge to change the forward address if you change providers or want it forwarded to another E-Mail account in the future. Please, only request one E-Mail address. Only one unique username is available i.e., there cannot be two "radiogod@broadcast.net" addresses. If your requested name is not available, you will be E-Mailed and you can request another. Usernames are on a first come, first served basis. This is an E-Mail alias ONLY account. There is no password, website, FTP site or telnet access. Your e-mail to the broadcast.net address will be forwarded to the address you specify. If you want a FULL e-mail account, we have those available for a fee.

If you have further questions contact dbiondi@broadcast.net

Items with * are required for the FREE E-Mail account activation! If entry is not complete or contains bogus data, application
WILL NOT BE PROCESSED.

*Your Name:

*Your E-Mail address:

*Your Street Address:

*City:

*State/Province:

*Zip/Mail Code:

Country:

*Business Phone Number:

Home Phone Number:

Birth Date: Gender: Male: Female:

*Employer:

What do you do there?:

How do you connect to the internet (ISP)?

What web browser do you use?:

What mail reader do you use?:

*Have you read and agree with the subscription information above: Yes

*Select BNet Username: @broadcast.net

*Complete E-Mail address to forward TO: