Site Review Request

Safe Internet subscribers may request a review of an Internet site. After submitting the information below, Site Patrol will contact you as soon as possible with a response to your submission if appropriate.

Thank you for your participation with us in providing the safest and most trusted Internet access in America.

Instructions: (please read)

1. You must fill in this form completely, including first and last name, and a reason. Incomplete forms will not be processed.

2. You must use the VALID registered email address assigned to you , or be a valid domain customer. If you submit your request using any other email address than the one you used to register your version with Safe Internet, your request will NOT be processed.

3. Please be considerate with your comments for your review. Profanity, rude, sarcastic, or nasty comments are NOT acceptable and will not be processed.

Your name:
Your VALID e-mail address
(so we can respond to your submission):
The site I would like reviewed is a:
(choose one)		 web page
chat room
Exact Internet address of the
site you would like reviewed:
This site is currently: (choose one)
 Blocked, and I believe it should be open for access.
Open for access, but I believe it should be blocked.
Your comments about this site in
support of your request: