:: Dial-Up sign-up

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.

::Copyright © 2005 US Internet Technologies::