First Name Middle Inital Last Name
Address 1
Address 2
Address 3
City State/Province Zip Code
Phone Number Fax Number
Alternate E-Mail Address
Where did you hear about InstaNet Internet?
Special Offer Number (if any)?
Which Level of Service is for you? E-Mail Only Account $5.95 per mo. Personal Account $29.95 per mo. Web Page Only Account $39.95 per mo. Business Account $49.95 per mo. Lan Account $225 per mo.(Price may vary)
Make three choices for your InstaNet login name. You will be assigned the first one not yet in use!
Your login name should be at least three characters long and no longer than eight, and must begin with a letter.
InstaNet Internet charges $29.95 a month for standard Personal dial-in services. This includes:
Payment Schedule -Service is prepaid each month, and additional charges are calculated and charged at the end of each month. Each account requires a one month additional setup fee. The setup fee is waived if the first three months are paid in advance.
To pay by Credit Card, fill out and fax us our Membership Application. To pay by Checking Account Debit, fill out and fax us our Membership Application. You have 7 days to make your first payment by check to:
Instant Internet Corp. 6355 Topanga Canyon Blvd Suite 513 Woodland Hills, CA 91367 Fax to: (818) 888-0513
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