LincolnNet Application Process
Instructions on how to become a member of LincolnNet

    LincolnNet Account Application

    If you would like to have the LINCOLN server as the place for your home page to reside, fill out this electronic form to provide the necessary information to the LincolnNet WebMaster. Public governments, institutions, and agencies will be allocated two accounts for access to the World Wide Web -- we recommend that one account be reserved for home page development and maintenance. We will be in touch with you soon to discuss your application.

    (When you've completed the form, click on the "submit" button at the bottom of this page and the information will come directly to us.)

    Institution Name

    Person to Contact

    First Name:
    Middle Initial:
    Last Name:
    Street Address:
    City:
    State:
    ZIP Code:
    Telephone Number:
    FAX Number:
    Email Address:


    Type of Institution

    Municipality
    Other Government
    Environment Related
    Public Safety
    Faith Community
    Library District
    School District
    School
    School District
    Human Service Agency
    Other

    If other, please specify:


    By default you are signing up for 2 email addresses and 8mb of web space. If you would like any additional services, select them from the list below.

    If you are unsure of which packages to select, click here for a description of our Service Plans.

    Service Plans Cost Selected
    LincolnNet Partnership $50/year Default
    Additional Web Account $30/year
    Additional Email Address $20/year
    5 Additional Web Accounts $120/year
    5 Additional Email Addresses $80/year
    8mb Additional Web Space $10/year

    If you have any other specific details or requests, describe them in the box below.


    Operating System

    Windows 3.1
    Windows 95/98
    Windows 95/98 & Windows 3.1
    Windows NT 4.0
    Macintosh

    Note: We do not support Windows NT versions earlier than 4.0


    Please mark the appropriate choices:

    I would like information about training opportunities at Governors State University

    I agree to take responsibility for maintaining the information supplied by our organization.


    Thank you for your interest...we'll be in touch soon!