Request for UserWeb Site

Complete the Request for Web Space Form.

I am an individual and I will use the web space provided by PiasaNet for
my personal purposes. I will not use the web site to market, sell, trade
or barter any products or services

I have reached the age of majority; in other words, I am eighteen years
of age or older.

I accept full responsibility for the information including graphic images
and computer files posted on the site. I will maintain a complete copy of
the file or files constituting my website on my computer or file storage
device at my primary computer location; PiasaNet has no responsibility
or obligation to back-up my web site files. I shall defend, indemnify and
save PiasaNet harmless from and against any and all suits,
proceedings, claims, liabilities, damages, actions, losses, expenses
(including attorney's fees) and demands arising in connection with or
resulting from any actual or alleged infringement of or interference with
any copyright, patent, trade secret or other proprietary right related to
my use of the UserWeb, any actual or implied libel, defamation or other
claim relating to a communication made by me or any other claim by a
third party relating to my use of the User Web.

I have read the above information as well as PiasaNet's policy
regarding my use of UserWeb. By completing the e-mail address below
and selecting the submit button, I acknowledge my full agreement to
the above written Request for UserWeb Site and will be bound by this
document as if I had affixed my signature hereto

Full Name:

E-Mail Address:

This Account is Under:

If Other, Please Explain:
Proposed Content:

Please submit this form one time only.