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Konocti Net's ISP Sign-up Form

Instructions

Hello! Thank you for choosing Konocti Net. This form will help you get signed up for our Premium Dial-up Service. TO AVOID UNNECESSARY CHARGES, IT IS IMPORTANT THAT YOU DO NOT CONTINUE UNTIL YOU HAVE READ THE FOLLOWING INSTRUCTIONS:

  • Please select a location using the selection drop-down menu below. If your location is not listed in the menu, please contact our Support Team at (707) 263-2973 or e-mail at support@konocti.net.
  • Your dial-up connection may take up to 45 minutes to be activated; please be patient. Feel free to get a cup of something nice to drink while our system processes your application. We will need to contact you in order to complete the sign-up process.
  • We only accept Visa, MasterCard and Discover credit cards online. We do not accept any other cards (such as American Express).
  • Be sure to read throughly the Internet Service Agreement and the Acceptable Use Policy before sending in your application.
 Contact Information
 
*First Name *Last Name
Company
*Address
 
*City *State *Zip
Day Phone  (At least one phone number is required)
Evening Phone
Fax
*Referer E-mail Address

 *required field

  
* Previous ISP
* Referer  
* Sign Up Date  
* Activation Date  
* Member E-mail Address  
* Member Password  
* Comments  

 *required field

 Billing Information
Credit Card  
*Credit Card Number
*Expiration /
*Name on Card

 *required field

  
 Service Package
Operating System
Service Plan
Location

 

 

 

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