Bronze Connection-Personal ISDN one channel. ($35.00 mo.)
Bronze Connect
ion-Personal ISDN two channel. ($45.00 mo.)
Bronze Connection-Business ISDN one channel. ($45.00 mo. $45.00 setup)
Bronze Connect
ion-Business ISDN two channel. ($55.00 mo. $55.00 setup)
Silver Connection-Personal ISDN one channel. ($40.00 mo.)
Silver Connect
ion-Personal ISDN two channel. ($45.00 mo.)
Silver Connect
ion-Business ISDN one channel. ($50.00 mo. $50.00 setup)
Silver Connection-Business ISDN two channel. ($55.00 mo. $55.00 setup)
Gold Connection-Personal ISDN one channel. ($50.00 mo.)
Gold Connection-
Personal ISDN two channel. ($60.00 mo.)
Gold Connection-Business ISDN one channel. ($60.00 mo. $60.00 setup)
Gold Connection-
Business ISDN two channel. ($70.00 mo. $70.00 setup)
2. Please tell us about yourself.
Full Name:
E-mail address:
Street Address:
City:
State
Zip Code:
Phone number:
Business Phone number:
Where did you hear about us?
3. Your New Internet Account!
Indicate a login name: (3 to 8 characters)
Which Operating System are you using?
Complete if you have chosen Gold Personal or
Gold Business connections:
Otherwise continue to #4. (Payment Options)
New Domain Name:
http://
Describe the purpose of your domain name:
Name up to 5 email addresses:
4. Payment Options
We only accept checks, cashiers check or money order at this time. All of our connection
programs are based on 3, 6 or 12 month prepaid basis.
Monthly rate for 12 month billing cycle is $15 per month.
Monthly rate for 6 month billing cycle is $18 per month.
Monthly rate for 3 month billing cycle is $20 per month.
payment option below:
Indicate 3, 6, or 12 months.
3
6
12
Credit Card Information:*
*Our Credit Card payment option is curently unavailable, at this
time Allover Information Services, Inc. only accepts personal
and business checks. This feature is coming soon!
Please select credit card type:
Visa
Master Card
American Express
Credit Card Number:
-
-
-
Expiration Date:
/
Please clickHERE
to read Terms and Conditions before clicking on the Submit botton below.
Once we receive the completed application
you will be contacted the same day with your new account activation
informaion. Soon thereafter you will receive an invoice via mail.
Thank you very much for filling out our Online Internet Application.
