Quick & Easy Mr.ISP Setup
*
Required
Thank You
for your interst in Mr.ISP Internet Services. We're here to get you connected quickly and hassle free. We are confident you will be pleased will MR.ISP's quality and value. We look forward to providing you the best service.
First Name
*
Last Name
*
Company
Mailing Address
*
City
*
State
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[Choose One]
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Phone
*
2nd Phone
Email
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Service Start Date
*
(mm/dd/yyyy)
How did you hear about us?
Advertisement
Friend
USComputron
Word of Mouth
Other
Email software you will be using?
*
Outllook
Outlook Express
Netscape
Lotus
Other
Modem Speed?
*
28.8
56k
Other
Don't Know
Choose a Login Name and Password for your account. (Your email will read
yourloginname
@mrisp.com)
(Password minimum 3 charater, max 6 character. Lowercase.)
Login Name:
*
Password:
*
If you wish to have additional E-mail accounts for $2.00 each. Please apply below.
Login Name:
Password:
Login Name:
Password:
Login Name:
Password:
Choose your Services.
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$12.99 Monthly Unlimited Dial-up access.
$38.97 Quartley Unlimited Dial-up access. ($12.99 x 3)
Additional Services.
$30.00 Monthly Domain Hosting
$20.00 Setup fee for Domain Hosting
None
Billing Information.
*
Check
Cash
Money Order
Visa
Mastercard
Credit Card Information.
Card Number
Name on Card
Exp. Date . (mm/dd/yyyy)
Please make checks payable to Mr.ISP.
Payments for the first 3 months required to activate your account. You will then be billed quartley there after in which you will recieve the invoice 30 days in advance and have 30 days to forward payment to us. If for any reason you are cancelled for non-payment a $20.00 fee will be applied to your account. You must be 18 years of age or older to sign up for a Mr.ISP account.
©2002 MR.ISP