Online Network Membership Form

Cnetweb.org Community Network

CME Communication Network

Maintained by Flashlyt.com

Please complete the form below in its entirety. If you have any questions, please contact a representative at 814-244-2059 or email your question to flashlyt@bellsouth.net

Primary Contact Information

Church/Business Name

Church/Business Mailing Address

City

State

Zip Code

Church/Business Phone

Church/Business Fax

Church/Business E-mail

Church/Business URL

First Name of Primary Contact

Last Name of Primary Contact

Title

Home Phone

Work Phone

FAX

E-mail

Date

Please select from the following services:

Community Network Membership $275.00 Annually

Business Network Membership $175.00 Annually

Domain Name Registration $25.00 Annually*

* For New Accounts, please indicate your domain name preference

www.

www.

www.

Church/Business Name
Church/Business Mailing Address
City
State
Zip Code
Church/Business Phone
Church/Business Fax
Church/Business E-mail
Church/Business URL
First Name of Primary Contact
Last Name of Primary Contact
Title
Home Phone
Work Phone
FAX
E-mail
Date

	Community Network Membership $275.00 Annually
	Business Network Membership $175.00 Annually
	Domain Name Registration $25.00 Annually*

	* For New Accounts, please indicate your domain name preference
	www.
	www.
	www.