Internet Access Order Form

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INTERNET Level 105. . . . . . . . . . . . . . . . . . . . . $5.00 / month
Internet E-Mail.
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INTERNET Level 110 . . . . . . . . . . . . . . . . . . . . $10.00 / month
15 Hours per month max.
60 cents per hour over 15 hours.
Auto Renewal Credit Card only.
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INTERNET Level 115 . . . . . . . . . . . . . . . . . . . . $15.00 / month
Our Flat Rate Account includes:
Modem Dial up Access up to 56K Baud or 64K ISDN.
Personal Web pages up to 10 Meg, EZ-HTML Editor.
10 E-Mail accounts@heartoftn.net & No Setup Fees.
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INTERNET Level 120 . . . . . . . . . . . . . . . . . . . . $25.00 / month
Includes all features of Internet Level 115 Plus
Multi-connection or Bonded access up to 128K ISDN.
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INTERNET Level 130 . . . . . . . . . . . . . . . . . . . . $30.00 / month
Business Account, includes Levels 115 and 140.
That's 10 + 10 E-Mails and 10 + 10 Meg of Web space.
Our 20 / 20 Special includes it all, Call for more info.
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INTERNET Level 140 . . . . . . . . . . . . . . . . . . . . $15.00 / month
Business Web Pages up to 10 Meg, CGI & SSI,
FTP Access and 10 E-Mail accounts@your.domain.
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INTERNET Level 150. . . . . . . . . . . . . . . . . . . . $100.00 / month
FULL TIME Connection up to 56K baud or 64K ISDN.
Static IP Address for Gateway, WWW, or FTP Server.
Startup Fee $100.
(Remote Services and Dial up Devices allowed on Level 150 Only)
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Advertising on our Home Page:
Rotating Banner Ads are available for $10 per month.
Rotating Banner Ads linked to a web pages, $5 per month.
Static Banner Ads are available for $40 per month.
(Advertising on WEB Pages Allowed on Level 130 & 140 Only)
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Method of Payment:
Advance payment required. Expiration date set on first connection.
Accounts completely removed on expiration date.
American Express, MasterCard, VISA, Checks or Money Order.
Tennessee Sales Tax of 8.75% applies to all Internet services.

 


 

Internet Dial Up Access       Quantity
     

* Account Holder's Real Name

* Address
City State Zip

* 1st Phone in case We need to call.

    2nd Phone (Optional)

* User Name (Login Name)
@heartoftn.net
( Login Name is the same as your Primary E-Mail Address )

* Password you wish to use.

( Password and Login Name must be in lowercase / No Caps )
( Letters and Numbers Only, No Spaces or Special Characters )

Pay By Credit ot Debit Card Pay by Check On-Line

* Please Select Card Type.
    Master Card
    Visa
    American Express 

* Card Number

* Exp Date

* Name as it appears on the card


    Auto Renew each Month
    
    Send E-Mail Expiration Warning

 

Bank Name
Bank Address
Bank City
Bank State
Bank Zip
Bank Phone
Name as listed on account
Amount of Check
Routing Number
Account Number
Your Check Number


Using the diagram below as an example, enter the information that appears at the bottom of your check.

 

*  How did you hear about us?

Enter additional E-Mail addresses / passwords and other instructions here.

 


*

* = REQUIRED