Welcome
to our sign-up page! Join the USIT family
by filling out the following information. If
your concerned about giving your personal information
across the internet, or would like to use our
Join by Phone service, please call 1-877-438-8748
to join.
::
Customer information
•
Business Name
•
Business Telephone
•
First Name
•
Last Name
•
Address1
•
Address2
•
City
•
State
•
ZIP
•
Home Telephone
•
Referred by
:: Type
of Service
•
Residential Dial-Up
•
Commercial Accounts
Other
:: Your
Computer
•
What operating system
do you have?
Windows 95/98
Windows NT 4.0
Macintosh OS
Other
•
Current Email (if applicable)
::
Credit Card Billing information
*
Due to Visa and MC new ECI Compliance
issues if you would like to pay via credit
card you will need to contact us with
the Credit card number at 1-877-GET-USIT
or when a representative contacts you
to verify your information you may give
the credit card info at that time. We
apologize for this inconvenience but this
new implementation is an effort to help
save our customers money.
•
What billing frequency
do you prefer?
Monthly
Quarterly
Semi-annually
Annually
Note:
Credit card billing address must match
billing address above.
::
Username and password
Please
enter your preferred username and password.
Your username and password must be no
longer than 8 characters, and your password
must contain at least 1 number. If unavailable,
you will be notified to choose another
when a sales representative calls you
to confirm this order.
Note:
New accounts WILL NOT be activated until
a sales person returns your call with
a confirmation.
Username
Password
::
That's it!
To
submit your order please press the submit
button below. Thank you for choosing US
Internet Technologies and have a great day!
Note:
New accounts WILL NOT be activated until
a sales person
returns your call with a confirmation.
