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  [ ]  FreeBSD[ ]  OpenVMS/Alpha[ ]  AIX  [ ]   
      Linux/Debian  [ ]  OpenBSD[ ]  OpenVMS/VAX  [ ]  QNX  [ ]
      Linux/Mandriva[ ]  NetBSD [ ]  OPENSTEP     [ ]  IRIX [ ]
      Linux/SuSE    [ ]  Solaris[ ]  Ultrix       [ ]  HP-UX[ ]
      Linux/Ubuntu  [ ]  Plan9  [ ]  Tru64        [ ]  

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)	
    StormPay 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 _____________________________________

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This form has to be printed and sent by post to:

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

or alternatively by fax to: +1 772 325 8221 (US efax number) for
faster activation.

General notes:
- application forms sent by e-mail will not be 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
  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 2USD)
Addmission fee is a one time fee per username and per host.
Please, read FAQ at http://www.polarhome.com/service/policy.html
Why polarhome has such an unusual policy? Learn more at
http://www.polarhome.com/service/decision.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 (preferably paypal or enclosed cash)   

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
   - you can find more information at http://www.paypal.com

6. StormPay payment
   - amount should be sent to sponsor@polarhome.com
   - because StormPay works just with USD you should convert 
     admission fee from your currency to USD and pay that amount 
     (min. 2 USD)
   - please, note your stormpay e-mail address
   - you can find more information at http://www.stormpay.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