TWIN CITIES FREE-NET MEMBERSHIP RENEWAL FORM

You may print this form or copy it by hand.

REQUIRED: YOU MUST SIGN THIS FORM.  WE CANNOT PROCESS YOUR RENEWAL WITHOUT 
YOUR SIGNATURE. 

INSTRUCTIONS: Please print (or copy by hand) this form, fill it out,
and mail it to:

Twin Cities Free-Net Renewal
P.O. Box 50503
Minneapolis, MN 55405-0503

Questions? Call (651) 256-2112 or e-mail to genmanager@tcfreenet.org

Name: __________________________

Login (Username): _____________

Address: _________________________________________________

Phone: (____) ____ - ______

I wish to renew my Twin Cities Free-Net account listed above.

Enclosed is my tax-deductible donation of:
   ( ) $0
   ( ) $26  -- Students & Senior Citizens (suggested)
   ( ) $52  -- Personal (suggested -- that's $1 a week!)
   ( ) $______ (If you can't afford the above, any amount is appreciated!)

Make checks payable to Twin Cities Free-Net, or check here ( ) if you are
donating via credit card at http://tcfreenet.org/join/credit.html.


Signature: ______________________________

OPTIONAL:

( ) I can't use my account because I have forgotten my password.  Please 
    mail me my password. I have enclosed a self-addressed stamped envelope 
    (SASE).