      Subscriber Agreement

	I agree to maintain the security of the UserID and Password assigned to
me by U.S. EPA for use of the CAMD Business System, in order to prevent
disclosure of this information to anyone.

	I agree that, if I have any reason to believe that the security of the
UserID or Password has been compromised, I will immediately inform U.S.
EPA by calling (202) 343-9157 or (202) 343-9168.

	I agree to maintain an email account; if any email sent to me by U.S.
EPA is returned as undeliverable, I will explain why this occurred when
requested by U.S. EPA.

	I agree to notify U.S. EPA if I cease to represent the regulated entity
specified below, by sending an email to irmc@epa.gov.

	I agree that I will be held as legally bound, obligated, and
responsible for any submission I make using the CAMD Business System as
I would be by making such submission in hardcopy form with my
handwritten signature as certification.

	I agree that I will be held as legally bound, obligated, and
responsible for any submission made using the CAMD Business System by an
agent whom I have authorized to act on my behalf.

SIGNATURE:		                                                            
         	

PRINTED NAME:	                                                          
           	

TITLE:		                                                                
      		

COMPANY:		                                                              
       	

EMAIL ADDRESS:	                                                         
            	

DATE:			                                                                
      	

 

	                                                                       


Please send completed forms to:

Street Address (overnight mail and package delivery)		Regular or
certified mail

  U.S. EPA						U.S. EPA

  Clean Air Markets Division				Clean Air Markets Division

  1310 L Street, NW					1200 Pennsylvania Avenue, NW

  ATTN:  Karen VanSickle, Room 209			Mail Code 6204J, Karen VanSickle

  Washington, DC  20005				Washington, DC  20460

  Telephone: (202) 343-9220

