Signup Page for Business DSL Accounts

1) Which account would you like to have?                                      

768K/128K

 Unlimited Internet use for $159.95/month. Full GreenNet® Tech Support.  Free backup dialup account.  Up to 20 workstations.  No activation fee.   

1.5M/128K

 Unlimited Internet use for $199.95/month. Full GreenNet® Tech Support.  Free backup dialup account.  Up to 20 workstations.  No activation fee. 

1.5M/384K

 Unlimited Internet use for $349.95/month. Full GreenNet® Tech Support.  Free backup dialup account.  Up to 50 workstations.  No activation fee.  

252K/252K

 Unlimited Internet use for $199.95/month. Full GreenNet® Tech Support.  Free backup dialup account.  Up to 20 workstations.  No activation fee.   

384K/384K

 Unlimited Internet use for $299.95/month. Full GreenNet® Tech Support.  Free backup dialup account.  Up to 35 workstations.  No activation fee.   

768K/768K

 Unlimited Internet use for $499.95/month. Full GreenNet® Tech Support.  Free backup dialup account.  Up to 75 workstations.  No activation fee.   

If you sign online using this form, your installation fee of $150 will be reduced by $25.  All fees are billed and/or charged in advance.  Pre-paid fees are not refundable if the account is closed before its scheduled maturity. Minimum Contract: One Year.

2) Please provide the following contact information:

Contact Name
Company/Organization
Address 
City
State
Zip Code
Primary Phone
Alternate Number (Cell, Beeper, etc)
FAX

3) What username and password would you like to have?

User Name Min..2 Max 10 characters (Please do not use special characters, except for period ".", dash "-", and underscore "_")
Password Must be at least 6 characters (Please do not use special characters, letters and numbers only )  
Confirm Password

4) Please tell us about your computer/ Network (LAN)?

My processor (s) is (are) For Example Pentium II
Operating System (s) For Example, Windows 98, ME, or MAC OS 9x
Modem Speed For Example: 56K
My Network OS is For Example Windows NT, Novell, Banyan None
How many PCs on the network? For example: Two, Six, 10+, Over 35
Do you have a Hub or Router? For example: Hub, Router, None, Don't Know

5) How would you like to pay for this account?

        a) Credit Card

BILLING
Credit Card
Cardholder Name
Address (If different)
City, State, Zip  
Card Number
Expiration Date (MM/YY)
 
        b) Direct Debit (ACH)

Enter your bank account information
 

Select your account type, routing and transit number, and bank account number in the appropriate boxes.
Bank Account Type:
Routing & Transit Number:
Bank Account Number:
Confirm Routing and Transit Number:
Confirm Bank Account Number:
NOTE.- Please send us a VOID check to validate your account to the address below


   c) Company Check with Invoice. 

If you do not chose credit card or direct debit, you must send to the address below a $250 deposit to open your business account, which will be credited towards your first invoice.  You will receive an exact invoice after your account is opened.  If the remaining balance is not received within 10 days, your account will be expired until full payment is received.

 

MAILING ADDRESS: GreenNet®
420 Main St
West Newbury, MA 01985

How did you hear about us? For example: The web, Yellow Pages. A friend, An associate, A customer
 
Copyright © 2001-2002 [GreenNet®]. All rights reserved.
Revised: February 27, 2002