MetaLINK Technologies, Inc. - Dial-Up Internet Order

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Dial-Up Internet Order

This form is for signing up a new Internet account. If you are currently a subscriber wishing to change your current access package, please reference our Billing Info page.

Please input the following information so that we can process your order. If any of the defaults are incorrect, simply type over them with the correct data. Also make sure you select the type of computer and operating system you have so that we can send you the proper Internet software and instructions. Incomplete registrations will NOT be processed. After your order has been submitted, a representative will call you to verify the order is valid. Thank you for your order!

Please read our Terms of Service. If you have any questions, please call our Sales department at 888-999-8002 or 419-782-3472 for assistance.

Full Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

If you don't mind us asking, what provider are you currently using for Internet access:

Which city will you be primarily calling to access the Internet:

NOTE: For a list of local calling areas, click (here).

Type of Account:

How did you hear of our service:

If you were referred by a friend, family member, or associate who is currently using MetaLINK, please type their full name or email address:

NOTE: To find out more about our referral program, click (here).

What dial-up package would you like to start out with:

NOTE: To sign-up for Wireless or DSL service, or to receive more information about our different dial-up packages, please click on the Dial-Up Internet or High-Speed links in the Menu on the left.

How would you like to receive statements:

NOTE: Paper statements are currently subject to a one dollar processing fee per billing cycle.

In addition to these, we can also automatically bill a Visa or Mastercard. Please call us to set this up.

What Operating System do you use:

On what type of media should we send the software:

NOTE: Your username will be the first part of your E-mail address (i.e. A username of johndoe will have an E-mail address of johndoe @metalink.net)

It must consist of at least two characters and no more than twelve. It must also contain at least

Required field