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If you would ike to apply for the Buffalo Free-Net Web Hosting services,
please send the Buffalo
Free-Net Webhosting Services Coordinator the following information:
Name of your Organization:
Category your SIG should be listed under:
Organization Address Line 1:
Organization Address Line 2:
Organization City:
Organization State:
Organization Zip:
Organization Phone:
Do you have your own DNS?
Do you have your own Domain Name?
If yes, what is your Domain Name?
Who is your DNS Provider?
A breief Description of Your Organization:
Any additional Comments?
The Username for your SIG:
The Password for your SIG:
Primary Webmaster Name:
Webmaster Address:
Webmaster City, ST Zip:
Webmaster Home Phone:
Webmaster Work Phone:
Webmaster Email:
Secondary Webmaster Name:
Webmaster Address:
Webmaster City, ST Zip:
Webmaster Home Phone:
Webmaster Work Phone:
Webmaster Email:
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