Please complete the form below to submit your application for Internet Access services with Fone Net. Be sure to leave us a way to contact you so that we can help with your initial setup and connection. If you need help or more information ragarding our services, please call us at 1-800-914-0711, or email us at Fone Net, LLC - Thank You!

Account (select only one):

New Account Modify My Current Account Please Send More information Please Call Me

Dial Up Access Plans (Spam filtering Included) :

Please Select the Desired Account Option 1, $9.95/mo. (30 hour internet access) Option 2, $14.95/mo. (Unlimited internet access, 5 email Accounts) Additional Emails, $2.50/mo per email. ($10 setup) Please Send More Information, Address Below

Dial Up Web Accelerator Plans :

Please Select the Desired Account Xtreme-FONE.NET®Web Accelerator, existing unlimited customer ($2.50) Xtreme-FONE.NET®Web Accelerator, existing metered customer ($3.95) Xtreme-FONE.NET®Web Accelerator, Non-fone.net customer ($4.95) Please Send More Information, Address Below

High Speed Access Plans (Spam Filtering Included):

Please Select the Desired Account DSL - Qwest Providing local loop 256K + Internet $34.95 DSL - Qwest Providing local loop 1.5Mbps + Internet $47.95 T-1 Frame Relay, Request Quote (CSU/DSU Router + $250 setup) T-1 Point-to-Point, Request Quote (CSU/DSU Router + $750 setup) Please Send More Information, Address Below

Miscellaneous Services(please check all that apply) :

Filtering - Individuals Filtering - Organizations Domain (New) Application Domain Renewal Domain Name Service Class C Addresses (256 IP addresses) Class C Addresses (128 IP addresses) Class C Addresses (32 IP addresses) Class C Addresses (16 IP addresses) Class C Addresses (8 IP addresses) Virtual Post Office (Domain E-Mail)

Mailing List Service (300 subscribers) Mailing List Service (500 subscribers) Mailing List Service (750 subscribers) Website Hosting Secure Server Hosting Hub Node(Co-Location) Web Page Development 800 Access Service User ID Change Reconnect Service Long Distance Service

Operating System Software Needed :

Mac OS X Mac OS 8x - 9x Windows XP Windows ME Windows 2000 Windows 98 Windows 95 Other: Specify in Message Box Please.

Your Name :

Your Email Address :

Your Phone :

Your Mailing/Billing Address :

Your UserId (first choice) - Not more than 16 Characters :

Your Alternate UserId - Not more than 16 Characters :

Your Temporary Password - Must be 8 or more Letters and/or Numbers :

The Date you would like your account started :

* * * Your first bill will be prorated and billed on the 1st of the month following the installation date along with your bill for the following month * * *

Message :