Step 1) Enter your Personal Information:
 

Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Day Phone #:

(______) ______ - __________

Evening Phone #:

(______) ______ - __________

I will use this  account for:

__ Individual

__ Corporate

__ Partnership

Other:___________________________

Step 2) Enter Your User Information:
 

Computer Operating System		Modem Information		How did you hear about Blacksburg.Net?__________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________
__ Windows 95	__ WebTV	__ Brand:
__ DOS	__ Unix	__ Model:
__  Macintosh	__ Other: _____________	__ Speed:

 

Choosing your Username and Password

Choosing a USERNAME: a USERNAME (Sometimes called a PID or Login Name) is your email name and login name. It can be from 1 to 8 characters long and can contain lowercase & uppercase letters and numbers. Your email address will be USERNAME@Blacksburg.Net . For example the USERNAME JoeUser would have the email address JoeUser@Blacksburg.Net

Choosing a PASSWORD: Your PASSWORD may be 6 to 16 characters and at least one character should be a number or symbol. Case is significant in a password. Your password should not be easily guessable. You should not use choices like your date of birth, your spouses name, your dog’s name, or variations of the above.

Username Choice 1:

Enter Desired Password Below:

Username Choice 2:

Step 3) Choose The Service Plan You Wish To Use:
 

Plan

Access Level

Type of Account

Payment Method

Monthly Rate

Set Up

Annual Cost

Plan 1

Unlimited Access*

Dial Up

Advance Payment Plan**

$16.95

$20.00

$203.40

Plan 2

Unlimited Access*

Dial Up

Credit Card – Billed Monthly

$17.95

$20.00

$215.40

Plan 3

Unlimited Access*

Dial Up

Cash or Check -- Quarterly prepaid

$17.95

$20.00

$239.40

Plan 4

Unlimited Access*

Dial Up

Cash or Check – Monthly prepaid

$19.95

$20.00

$239.40

Initial Choice

Choose Your Plan

_____

Plan 1: I wish to SAVE MONEY via the Advance Payment Plan**

_____

Plan 2: I wish to save money by paying monthly by credit card

Credit Card #:

Expiration Date:

_____/_____

_____

Plan 3: I don’t care about saving money, just bill me monthly

Setup Fee:

$20.00

* Blacksburg.Net provides Unlimited Interactive Access. See Terms and Conditions for details. ** By paying in one year in advance you get access for ONLY 16.95 PER MONTH (Form Revision #: 010623)

Prorated Monthly Fee:

$_____.___

Monthly Fee:

$_____.___

Total:

$_____.___

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Questions or comments, please send mail to: webmaster@blacksburg.net