Personal Information |
| Name |
(required)
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| Telephone # |
(required)
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| Email |
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56kbps Dial-Up Access
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| Connection Plan |
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* $1/hr charge applicable to extra hour(s) used for hourly plan subscribers.
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Hi-speed ADSL Internet Access
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| Connection Plan |
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| Modem Rental |
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| Activation Fee |
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Domain & Web Hosting
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| Domain Setup |
Domain:
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| Web Hosting |
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| Extra webspace |
x $5.00/month - Additional 5MB/month
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| Extra bandwidth |
x $30.00/month - Additional 1GB Bandwidth
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| Subtotal |
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| Taxes |
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| Total |
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