NOTE: print out this application form and fill out or write all 
required data on blank paper and send to the address noted below.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
POLARHOME.COM SHELL USER'S APPLICATION FORM


Username: ___________________________________

Host: Linux/RedHat  [ ] OpenBSD  [ ] OpenVMS/Alpha[ ] HP-UX [ ] 
      Linux/Debian  [ ] FreeBSD  [ ] OpenVMS/VAX  [ ] Tru64 [ ]
      Linux/SuSE    [ ] NetBSD   [ ] OpenIndiana  [ ] IRIX  [ ]
      Linux/Ubuntu  [ ] DragonFly[ ] Solaris      [ ] QNX   [ ]
      Linux/CentOS  [ ] MirOS/BSD[ ] UnixWare     [ ] AIX   [ ]
      Linux/Mandriva[ ] GNU/Hurd [ ] OpenServer   [ ] Minix [ ]
                                     RaspberryPi  [ ] Ultrix[ ]
Age      : __________________________________

Real name: __________________________________

E-mail   : __________________________________

Address  : __________________________________
		
           __________________________________

City/ZIP : __________________________________

Country  : __________________________________

Admission fee: (please, check the notes)

    Amount: ____________ Currency: ______________	

    Enclosed cash    [ ]
    Enclosed check   [ ]
    WesternUnion     [ ] MTCN ___________________________
    Bank transfer    [ ]
    PayPal payment   [ ] from ___________________________(e-mail)	

By filling out this form, I agree with polarhome.com user policy:
http://www.polarhome.com/service/policy.html and I am aware that:

- I will loose my shell account in any case of malicious activity
- polarhome realm and member hosts provide services "AS IS"
- polarhome.com is non commercial site and does not sell services
- included fee is a one time step up fee and it is not refundable
- polarhome can not guarantee uninterruptible business continuity


Date ____________ Signature _____________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
This form has to be printed, filled, signed and sent by post to:

polarhome.com
c/o arpadffy
Edbovagen 47 D
14263 Stockholm
Sweden

or alternatively by fax to: +1 772 325 8221 (US efax number) for
faster activation. Scanned images are also accepted, if e-mailed
to support@polarhome.com

General notes:
- text format application forms sent by e-mail are not accepted.
- form has to be filled out personally and signed by hand. 
- you should do it JUST if you agree with polarhome users policy.
- username has to be a valid template account on polarhome.com host(s)
- if you do not have a valid template account you should create one at
  http://www.polarhome.com/service/shell/ before you apply for a
  shell upgrade.

Addmission fee payment notes:

Addmission fee is 10 local currency units per username (per host)
but at least 2 USD value in your local currency (in case when 
10 local currency units value is less then 2 USD)
Addmission fee is a ONE TIME DONATION per username and per host.
Please, read FAQ at http://www.polarhome.com/service/policy.html

1. Enclosed cash
   - for this method of payment, please use just paper bank notes
   
2. Enclosed check
   - check should be payable to "Zoltan Arpadffy (polarhome.com)"
   - note: if amount is less than 15 USD (bank realisation fee per 
     check), then please, use some other payment method, if you 
     really want to contribute/donate.   

3. Western Union money transfer
   - the receiver should be: Zoltan Arpadffy - address above.
   - please, note the MTCN (Money Transfer Control Number)
   - you can find more information at http://www.westernunion.com

4. Bank transfer
   - amount should be transferred to:

	Zoltan Arpadffy
	for polarhome.com
	Bank: SEB, Stockholm, Sweden
	SWIFT: ESSE SE SS
	Account: 5231-0271578
   
   or with another words:
    
        Iban:  SE5150000000052310271578 
        Bic :  ESSESESS 

5. PayPal payment 
   - amount should be sent to sponsor@polarhome.com
   - please, note your paypal e-mail address in the form
   - you can find more information at http://www.paypal.com

If you have any question or suggestion regarding application form
or shell registartion process, you may ask support@polarhome.com

Why polarhome.com has this shell application policy, learn more
at http://www.polarhome.com/service/decision.html