SVPAL Individual Account Application Form
Account Contact and Billing Information 
Street Address: ___________________________________________________
Day phone: _____________________ Night phone: _____________________
Type of Computer (circle one): Windows ( 10 8 7 Vista XP 2000, Apple Mac, Other (specify):
User ID choices: (16 characters max) 
(1) __________________ (2) __________________ (3) __________________
I acknowledge that I have read and understood the terms and conditions as set forth. If I am under 18 years of age, my parent's or guardian's signature is included to indicate their approval for me to have this account despite the fact that I may be exposed to objectionable material.
My signature: __________________________ Date: ____________
Parent or guardian:
Mail this form with your check to:
SVPAL, PO Box 5052, San Jose, CA 95150
Silicon Valley Public Access Link (SVPAL) is committed to a policy of free expression and free access to ideas. SVPAL is committed to a policy of responsible use of the system that does not restrict others from using and enjoying the system. To these ends, a user of Silicon Valley Public Access Link agrees to the following terms and limitations as a condition to use of the system.
I Agree to these terms, and with others that SVPAL may publish in the future.
 This information is used by SVPAL for billing and maintenance of this account. This information is only used by SVPAL staff. You should list the email address SVPAL should use to contact you about billing or other matters. If you leave this field blank, then your SVPAL email address will be used to contact you.
 Please enter your first three choices for a User ID for the account. The User ID is the name you will use to log onto SVPAL and it will be your SVPAL email name. You may use any combination of three (3) to twenty-four (24) lower case letters and numbers - however, it must begin with a letter. Please make alternate choices in the event your first choice is not available. User ID examples are: myorg, brkclub, pasta.
Contact Silicon Valley Public Access Link
Last Updated: Sunday June 19, 2016