Dial-up Registration Form

ISDN Registration

Termination Policy

Now you can purchase your own domain. The more you subscribe the more you save!!!
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Complete the form below in its entirety

Subject:

Register your Domain today!!

Note: Our ISDN accounts are limited to 300 hours per month. Our billing is on the 1st of every month and ends on the last day of the month!! The set up fee is automatically added on your total. If you are a recurring customer who has not been disconnected your set up fee will be subtracted before billing your credit card

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Customer Information

Owner Name:

Address:

City:

State/Province:

Postal Code:

Country Code:

Email:

Fax:
Phone:
Username: Password:

Note: Username and Passwords must be at least 6 charecters long. Alpha and 1 thru 9 okay

Credit Card Information

I / We hereby authorize you to charge the dial-up fee to my credit card, information see below. Payment is due for successful registrations only.

*Method of Payment: VISA MasterCard

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Expires: *

Address of Cardholder *** Street address, City, State, Zip required *** *

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