Signup Page for Residential DSL Accounts


1) Which account would you like to have?                                      

DSL Value

768K/128K speeds for $48.95/monthUnlimited Internet use. No GreenNet® Tech Support.  No free backup dialup account.  No activation fee.

DSL Premium

768K/128K speeds for $59.95/monthUnlimited Internet use. Full GreenNet®  Tech Support.  Free backup dialup account.  No activation fee.

DSL Gold

1.5MM/128K speeds for $99.95/monthUnlimited Internet use. Full GreenNet®  Tech Support.  Free backup dialup account. Great for music, videos, movies and games.  No activation fee.

IF you signup online using this form, your $150 installation fee 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.  30-day cancellation notice is required.

2) Please provide the following contact information:

Name
Address 
City
State
Zip Code
Company/Organization
Home Phone
Work 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?

My processor is For Example Pentium II
Operating System For Example, Windows 98, ME, or MAC OS 9x
Modem Speed For Example: 56K

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, and include you 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) Personal Check with Invoice. 

There is a $2 invoicing fee for each invoice sent.  If you do not chose credit card or direct debit, you must send a $25 deposit to open your account to the address below, 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


 
Copyright © 2001-2002 [GreenNet®]. All rights reserved.
Revised: February 27, 2002