Online Signup

1) Please provide the following information

First Name

Middle Initial

Last Name

Company

Address

City

State

Zip Code

Home Phone

Work Phone

Fax

Email

Credit Card Type

Credit Card Number

Expiration Date

2) Please provide a desired E-Mail name and Password
(you will be provided with a dialup logon username)

Desired E-mail name?

Desired E-mail/Dialup Logon Password?

3) What plan(s) are you interested in?

Select from Dialup and/or Website plans.

4) Please tell us about your computer and browser software

What Web browser do you use?

If other please specify below.

What computer operating system are you running?

If other please specify below.

5) How did you hear about us?

6) Comments?

Thank You for completing our Online Signup Form

All responses will be called to verify submitted information

(* all accounts do not include tax and are subject to a dialup activation fee of $24.95
and/or a website activation fee of 29.95)

Online Signup

Please review our Policies Page before continuing.

1) Please provide the following information

2) Please provide a desired E-Mail name and Password
(you will be provided with a dialup logon username)

3) What plan(s) are you interested in?

4) Please tell us about your computer and browser software

5) How did you hear about us?

6) Comments?

Thank You for completing our Online Signup Form

All responses will be called to verify submitted information

(* all accounts do not include tax and are subject to a dialup activation fee of $24.95
and/or a website activation fee of 29.95)

Send mail to hostmaster@uSurfer.net with questions or comments about this web site.

Online Signup

Please review our Policies Page before continuing.

1) Please provide the following information

2) Please provide a desired E-Mail name and Password (you will be provided with a dialup logon username)

3) What plan(s) are you interested in?

4) Please tell us about your computer and browser software

5) How did you hear about us?

6) Comments?

Thank You for completing our Online Signup Form

All responses will be called to verify submitted information (* all accounts do not include tax and are subject to a dialup activation fee of $24.95 and/or a website activation fee of 29.95)

Send mail to hostmaster@uSurfer.net with questions or comments about this web site.

2) Please provide a desired E-Mail name and Password
(you will be provided with a dialup logon username)

All responses will be called to verify submitted information

(* all accounts do not include tax and are subject to a dialup activation fee of $24.95
and/or a website activation fee of 29.95)