Midtown Network: Home Page
 
  Directory

Home

Types of Accounts

Customer Support

Contact Us

 


Sign up for Internet access now!

This form is located on our secure server. (If you're using Netscape, notice the solid key graphic at the bottom left side of your screen. If you're using Explorer, notice the padlock at the bottom right side of your screen. These symbols assure you of secure transactions.) This means that the sensitive personal information you enter is completely confidential and safe. It can not be viewed or retrieved by anyone but us.

Please read our Access Account Agreement, then indicate that you have read and agree to it below. Fill out the personal information and your choice of account. Click the Send Form button when you have completed the form.

On-line account orders are normally processed within 24 hours. We will call you when your account is set up and ready for use. Be sure to include a daytime phone number.

Feel free to call our business office at (916) 448-1290, Monday through Friday, 9:00 a.m. to 5:00 p.m., if you have any questions.

Due to the many variables when setting up a hosted domain business account, this form is for personal accounts only. Please call our office and we will be happy to discuss the options for business accounts.


space2.gif (824 bytes)

   
Type YES to indicate that you have read and agree to the Access Account Agreement
Agreement:
Enter billing information:
E-mail Name:
Name:
Address:
City:
State:
Zip:
Daytime phone:
Evening phone:
Username:
(2 to 12 characters)
Select type of account:
Metered-25 @ $12.95 ($1.00/hour over usage)
Standard Non-Metered @ $21.95
Premium Non-Metered (with personal web space) @ $24.95
Extra services:
Additional e-mail @ $1.00/ea
Additional dial-up @ $20.00
Select payment method:
Credit card auto-billing
Check/cash/money order
If payment type is credit card, enter card information. Visa, MasterCard, American Express and Discover cards are accepted:
Credit card number:
Expiration date:
Cardholder's name:
Special instructions, questions or comments. Use this space to specify a second email address, if desired.
All accounts will be charged two months in advance (first month and last month pre-pay). The last month charge is not a set-up charge, and may be used for the last month of service.