APPLICATION FORMS FOR ERNA WEBSITE FOR STUDENTS ASSOCIATIONS

WEBPAGE SPACE

Presenting your own association with your own look on the Internet is possible by means of an ERNA Website. Fill out this form, sign it and send it along with your order, safeguarding statement and a copy of the Chamber of Commerce registration (see instruction produktspecificatie) to the ERNA Administration (see the address at the bottom of this form).

Name of association : _____________________________________________
Address: _____________________ Phone: _____________________
City: _____________________ Postal code: _____________________
Name of the head of the association : _____________________________________________
Domain name requested __________________.nl
Email addres requested __________________________@domain_name_requested.nl
Did you include a safeguarding statement? Yes / No Cost centre:________________

The applicant hereby declares he/she accepts the regulations for the Use policy for computer and network facilities of the EUR.

Signature of the association head: ________________________ Date: _____________________

Only forms that are completely filled in and signed will be processed!

ERNA Website Information (to be filled in by the ERNA administration) These data are input in 'lower-case'!

Domain name assigned: _______________.nl
Web server address: www.______________________.nl
Email user name: ____________________________________
Email password: ____________________________________
Email Address: ________________ @ ___________________.nl
Email Aliases: postmaster@___________________nl and

webmaster@__________________.nl

Date: ______________________________________________


Erasmus Universiteit Rotterdam
SSC ICT - Virtuele WWW server
t.a.v. ServiceDesk SSC ICT (H02-01)

Burg. Oudlaan 50
3062 PA Rotterdam