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Dial-Up Internet Sign Up Form
Personal Information
First Name: Last Name:
Address: Address: City: State: Zip Code:
Current Email: Daytime Phone: Evening Phone:
Account Information
1. Enter your desired Login ID (This can be anything you want and may be different than your email)2. Check the Access Numbers by clicking on the button at the top of Account Information area and select your network in relation to the city where you have local phone coverage. For those that have multiple networks at their disposal, you must choose only one. Van Zandt County Texas customers should choose network E if possible.3. Enter your Network Identifier in the Network field. (Will be a single letter)
Login ID: Network: Password:
Syntax: LoginID#etxcs@Network.56k.cc
Email Accounts
Included with the Dial-Up Internet are up to 5 email addresses. All included email will have the extension @gct21.net. If you desire email accounts, please enter them below.
Email Address 1: Password: Email Address 2: Password: Email Address 3: Password: Email Address 4: Password: Email Address 5: Password:
Billing Information
$14.95 Monthly $44.85 Quarterly $89.70 Semi-Annual $164.45 Annual (1mo free)Invoices are emailed approximately 1 week prior to due date. Please enter the email you want the notifications sent to.
Are you interested in automatic payments via Credit / Debit Cards? Yes No Maybe
Copyright Advanced Technology Centers, LLC, 2006. All Rights Reserved.