In order to become a participant of the Wauconda Area Community Information Network and/or the Community Calendar, the following information is required.

Contact Information

ORGANIZATION NAME_________________________________________________

CONTACT PERSON____________________________________________________

ADDRESS___________________________________________________________

CITY_______________________________________ ZIP___________________

PHONE____________________________ FAX____________________________

LIBRARY______________________________

LIBRARY COORDINATOR_____________________________

Please indicate if you have another e-mail account where you would like to receive all NorthStarNet mail:__________________________________


Account Name and Password Information
Please select an account name and password for your NorthStarNet account. Neither can be longer than eight characters.

Account Name
Please note that your account name will be included in your URL and will be your "login" name for accessing NorthStarNet account management tools. You should select an account name that will be easy to remember and reflects the name/mission of your organ ization. All account names must be in lowercase letters.

Password
All NorthStarNet passwords should:

• have between 6 and 8 characters, at least one of which is non-alpha (i.e., a number or symbol)
• not be a recognizable word (can be a word modified by adding non-alpha characters)
• not be a variant of the account name (login)

Account name/Login__________________

Password_______________

Content Information
Briefly describe the information you will provide on NorthStarNet:

Check up to five categories that apply: