You can use this form to request space modifications for your netINS Web Hosting account. Please FAX or Mail this form to the address listed below. If you have netINS Web Hosting Business or Advanced level service, use your WebSiteOS interface to obtain more disk space. This form is exclusively for standard netINS Web Hosting service.

• Additional space comes in intervals of 75MB blocks at the price of $10.00 per block, per month.
• The fee will be added on to your existing account.
• There is a $10.00 maintenance fee for all changes.

                                 Please print or type. We will not be able to
Administrative Information:      process incomplete or illegible registrations.


 Website Address: ____________________________________________________________

 Name: _______________________________________________________________________

 Organization: _______________________________________________________________

 Address: ____________________________________________________________________

 City/State/Zip: _____________________________________________________________

 Daytime Telephone: _________________________ FAX: ___________________________

 Email Address: _____________________________________________________________



 Please add  _______ 75MB block(s) to my account at $10.00 each per month.

 Please remove  _______ 75MB block(s) from my account at -$10.00 each per month.


Your signature indicates acceptance of the "netINS Web Hosting 
Terms and Conditions" (below), and is REQUIRED. Your signature also 
authorizes netINS to process a charge against your credit card at the 
end of a normal billing period (if you are currently being charged via 
credit card).

 Signature: ____________________________________________ Date: ___________

Send this form to:

        netINS, Inc.                       FAX: (515) 830-0345
        Attn: Webmaster                    Voice: (800) 205-1110
        312 8th St., Suite 730
        Des Moines, IA 50309

netINS Internal Use Only
Customer No: __________________ Date Processed: _______ Setup Chg: $_____

netINS Web Hosting Terms and Conditions

1. By signing this registration form and agreement, you (customer) agree to the following terms and conditions of the service described below.
2. These services are provided by netINS, Inc., 4201 Corporate Drive, West Des Moines, IA 50266-5906.
3. Technical support is available upon activation of your account.
4. All charges will be billed on your approved credit card as described on the netINS Web Hosting Registration Form. If for any reason a posting to your credit card is not accepted your service may be discontinued. An additional registration fee as well as re-establishment of valid credit will be required to re-establish service.
5. netINS, Inc. makes no express or implied warranty of any kind. There is no express or implied warranty of merchantability or fitness for a particular purpose for the services to be provided by netINS. netINS makes no attempt to verify accurate receipt of any message and is not responsible for any loss of data resulting from delays, nondeliveries, incorrect deliveries or service interruptions, including those caused by negligence, errors, or omissions of netINS, nor for consequential damages regardless of their cause.
6. Customer agrees to comply with the terms governing use of the netINS network, as they may change from time to time. Any changes to the terms governing use of the netINS network will be posted as warranted on the netINS computer system.
7. This agreement shall be governed by and construed in accordance with the laws of the state of Iowa applicable to the contracts to be performed entirely within the state.
8. Either party may terminate this agreement at any given time by giving written notice. Such notice is effective when given. Customer is obligated to pay for service through the termination date as detailed on the final invoice.
9. By accessing and using the netINS computer system, user is consenting to system monitoring for law enforcement and other purposes. Unauthorized use of or access to this computer system may subject users to criminal prosecution and penalties. User agrees to indemnify netINS against liability for any and all use of user's account.
10. netINS reserves the right to refuse placing materials in this account which may be deemed by netINS to be offensive to potential readers, or which may be contrary to state and federal statutes. netINS reserves the right to discontinue providing this service on your behalf for any cause deemed sufficient by netINS.
11. By signing this agreement, you agree to absolve netINS of any liability for the content and distribution of materials placed in your area by yourself or any other persons or entities. Any questions or disputes which arise in this regard must be corresponded in writing to representatives of netINS.