POP MAIL BOX NAME ACCOUNT USER AGREEMENT ___________________________________________ Company Name ___________________________________________ Company Address ___________________________________________ Company City State ZIP ____________________________________________ Company Telephone Number ________________@___________________________ Current Complete email Address - I, am the person named, and I ,request a POP mail box @ibrinc.com. - The individual that I have named above will be the only person that I will authorize to access/use the account. - The account will be used only to send business information and other business related data to and in some cases receive data from, Interstate Background Research. The account will be utilized for no other purpose, personal or otherwise. - I agree that I will not alter the parameters, including the password of the mail address/box. - I agree that I will not use, or allow to be used, this address/mailbox/account for any immoral or unlawful purpose. - I understand that this account may be terminated/closed at any time by Interstate Background Research without stated reason or notice to me whatever. - I understand that if this mail box is not used for a period of 45 days, IBRInc may, without notice, close the box, and that IBRInc will not be responsible for any lost or non-forwarded mail. - I understand that the contents of this mailbox are not private from authorized employees of IBRInc, and are subject to the all of the frailties and security risks of the internet. - Further, I agree to hold Interstate Background Research, Inc. harmless of all liability for any action caused directly or indirectly by me regarding the use of this mail address/box during the time that I have use priveledges of this mail box. ____________________________________________ Your Signature ____________________________________________ Your Name Typed or Printed ________________@___________________________ Your email address THANK YOU PLEASE MAIL/FAX FORM TO: IBRInc Post Office Box 817 New Port Richey, Florida 34656-0817 FAX: (727)848-7340 form 5r1a- mail_box.txt rev 09/21/1999