Information Provider Application

For non-profits organizations, groups, clubs, etc.

F o r t N e t
The Community Information Network
P.O. Box 270644
Fort Collins, CO 80527-0644
(970) 224-5991

Company/Organization Name:

Street:

City:
State:
Zip:


Contact person for administrative or information content issues:
Name:
Phone:
email address:

Contact person for technical issues (if different from above):
Name:
Phone:
email address:

Do you have a staff/volunteer/member who can do your html conversion? If so, who?

Will you need FortNet's help in locating HTML expertise?

Type of company or organization information you want placed on FortNet:
(Include your Domain Name {ULR} if you own one and want to use it -
{there is a fee for this service})




Approximately how much data (number of 8 1/2 x 11 pages) do you want to place on FortNet?




Provide e-mail address of where you want your organization's e-mail forwarded: