NetSide.net

NetSide Corporation - Internet Services Provider, Miami Beach, Florida, 305-531-1995

V.90 56K and
ISDN dial-up
numbers* in
305, 954, 561

(*) PPP/Telnet/Shell/FTP
access and web space included

admin@netside.net

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NetSide On-line Subscription Form

We cannot respond unless subscriber provides a valid E-mail address

Subscriber Information

Full Name of Account Holder:

Organization/Employer:

Mailing/Billing Address:

City/State/ZIP:

Phone numbers:
Day Eve Fax

Computer System Information

E-mail address used presently:

IMPORTANT: if you don't specify a valid E-mail address, we cannot respond to your request via E-mail!

Type of operating system used to connect:

Type of modem used to connect:

I have read the on-line instructions regarding connecting to NetSide with my type of system.
Software installation and configuration will be performed by:
myself
technician assistance requested

Desired NetSide login account name (up to 8 lowercase characters, must start with a letter):
first choice second choice

Desired NetSide password (between 6 and 8 alphanumeric characters):
must contain both letters and numbers

Payment Information

NetSide Corporation accepts the following credit cards:
Visa | MasterCard | American Express | Discover

Payment only by Credit Card or yearly prepayment by check for new subscribers
Visa, Master Card and Discover credit card numbers must be phoned in at 305-531-1995.
You may also print a credit card authorization form and send it by fax or Postal mail.

Select a method of payment:
Credit card number:
Credit card expires:
Name of card holder (if different from above):

NetSide charges a one-time $15.00 individual account setup fee, due with your first payment.
Prepaid yearly - send your check to: NetSide Corp, P.O. Box 403895, Miami Beach, FL 33140

Special Information

The account and the 10MB web space included with this account will be used primarily for:
personal
business

Dial-up requested for area code:
Comments:

Commercial customers, please contact NetSide Corporation at 305-531-1995 for business rates. Individuals that plan to run a business web site may also need to open a commercial account. Domains are hosted only with business accounts.

Submit your completed on-line subscription form

If the information entered above is correct, press , otherwise the form.

If your browser does not support forms, you may E-mail your subscription request to admin@netside.net

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NOTES: Please allow 1 to 2 days for processing and feedback after submitting your on-line request. We may call or e-mail you after your account is opened. Incomplete or bogus applications will not be processed. Fraudulent accounts, spammers and hackers will be disconnected immediately!

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