To Register for an Organizational Account, please send or bring this registration form to the NCF office. If you visit the office in person, or fax the required information, the account can usually be set up within a day.
Filling out the Registration Form:
The Organizational Account is an authorized "shared" account, with
one person in the organization taking responsibility for all actions
done via the account.
The same individual must already be an NCF member and
must sign the form below. The
organization address and phone number may be provided.
The customized web address you get is in the form http://orgname.ncf.ca and your customized email address is in the format of: orgname@ncf.ca
Please complete this form and send to NCF by fax, mail or email.
I have read, understood, and agree to abide by all the clauses and provisions in the National Capital Freenet Member Agreement. In addition, I certify that any and all members of this organization using the account will abide by the same provisions.
I hereby authorize this account on behalf of the following organization:
Organization Name: ___________________________________________________________
Existing NCF memberID : ______________ (e.g. ab123)
Signature: ___________________________________ Date: ______________________
Requested web address (url): http://____________________________.ncf.ca
Street address: ___________________________________________________________
City/Province/Postal Code: _________________________________________________
Organization Tel: ___________________________ Fax: __________________________
Occasionally NCF needs to send email about your organizational account. Please indicate where such email notices should be sent:
Send notices to my new NCF email mailbox (which will be created for you upon registration, i.e. orgname@ncf.ca)
Send notices to my existing non-NCF email address at (eg., joe233@yahoo.com): ___________________________________
The NCF is a not-for-profit organization that operates Internet service and helps people get online. Although NCF is "free to use", it is not "free to run". We depend on member donations to cover operating expenses. An organizational account requires a donation of at least $8.50/month or $100 /year. Donations over $100/year will help improve NCF services and help those in our community who are less able to contribute financially.
Please select one of the following donation methods:
I authorize National Capital FreeNet Incorporated to debit my VISA/MasterCard account $__________
VISA/MasterCard account number ________ _______ _______ _______ Expiry_____/______
Name on card _____________________________________
I authorize National Capital FreeNet Incorporated to debit
my/our bank account in the amount of $_____ monthly on or about the 20th of the
month, per the terms and conditions below:
Name of Financial Institution ________________________________________
Branch ___________________________________________
Please include a cheque marked "Void" with this form.
Signature ____________________________________ Date _______________
Signature*____________________________________ Date _______________
* All persons must sign if more than one signature is required on cheques
issued against the account.
VISA/MasterCard account number ________ _______ _______ _______ Expiry_____/______
Name on card _____________________________________
NCF Office
Suite 302 Trailhead Building
1960 Scott St.
Ottawa, Ontario K1Z 8L8
Fax: (613) 520-3524
Tel: (613) 520-9001
Email: office@ncf.ca
Terms and Conditions:
I/WE will notify National Capital FreeNet Incorporated in writing of any
changes in the account information or termination of this authorization at
least thirty (30) days prior to the next payment date.
MY/OUR financial institution will treat each debit as if I/We had personally
issued a written direction authorizing National Capital FreeNet Incorporated to
debit the amount specified to my/our account and need not verify that payments
are drawn in accordance with this authorization.
I/WE understand that any debits charged to my/our account will be reimbursed
if:
(a) this debit was not drawn in accordance with this authorization;
(b) this authorization has been terminated; or
(c) the debit was posted to the wrong account due to invalid/incorrect account
information supplied by National Capital FreeNet Incorporated, by giving notice
in writing to my/our branch of account within ninety (90) days of the debit to
my/our account.
I/WE acknowledge that delivery of this authorization to National Capital
FreeNet Incorporated constitutes delivery to my financial institution.
I/WE warrant that all persons whose signatures are required to sign upon this
account have signed this authorization.
Contact us with any questions or feedback.