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

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POLARHOME.COM CLASSROOM APPLICATION FORM


Desired account prefix:    __________________________________

Teacher's username    :    __________________________________

Number of students    :    __________________________________

Host: Linux/RedHat  [ ] OpenBSD  [ ] OpenVMS/Alpha[ ] Minix   [ ]
      Linux/Debian  [ ] FreeBSD  [ ] OpenVMS/IA64 [ ] Tru64   [ ]
      Linux/SuSE    [ ] NetBSD   [ ] OpenVMS/VAX  [ ] Ultrix  [ ]
      Linux/Ubuntu  [ ] MirOS/BSD[ ] OpenIndiana  [ ] IRIX    [ ]
      Linux/CentOS  [ ] DragonFly[ ] Solaris/x86  [ ] QNX     [ ]
      Linux/Mandriva[ ] GNU/Hurd [ ] Solaris/SPARC[ ] AIX     [ ]
      Raspbian/RPi  [ ] HPUX/PA  [ ] UnixWare     [ ] MacOS X [ ]
      Pidora/RPi    [ ] HPUX/IA64[ ] OpenServer   [ ] Syllable[ ]
      Debian/powerpc[ ]

Class name       : __________________________________ 

Teacher's name   : __________________________________

Teacher's 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:

- the class will lose the accounts in case of malicious activity
- polarhome realm and member hosts provide services "AS IS"
- polarhome.com is non commercial site and does not sell services
- polarhome can not guarantee uninterruptible business continuity


Date ____________ Teacher's Signature ___________________________



Institution
School name      : __________________________________

Address          : __________________________________

                   __________________________________

City/ZIP         : __________________________________

Country          : __________________________________

Home page        : http://___________________________

Rector's name    : __________________________________

Rector's 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:

- polarhome classroom service is absolutelly FREE of any charge
- the teacher will use polarhome services for education purpose
- the teacher is responsible for all activities in the classroom
- personal information above are handled and kept confidentially
- polarhome realm and member hosts provide all services "AS IS"
- polarhome.com is non commercial site and does not sell services
- polarhome can not guarantee uninterruptible business continuity


Date ____________ Rector's Signature ___________________________



Place for the institution's stamp (if applicable)

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This form has to be printed, filled, signed and sent by post to:

polarhome.com
c/o arpadffy
Edbovagen 47 
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.
- copy of the teacher's national ID card should be attached. 

Admission fee payment notes:
polarhome.com classroom accounts are free of charge.

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 



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