Application for Local Internet Services How did you hear about us? Insert    Magazine    Billboard    Referral    Other:  Date: First Name: M. Initial: Last Name: Billing Address: City: State:     Zip Code: Home Phone:          Work Phone:        Username:     *The username must be at least 3 Alpha-Numeric Characters & no more than 12.  The username will be used to log on the net and is also used as part of your e-mail address. 1st Choice: 2nd Choice: 3rd Choice: Password:     *Your password must be at least 6 Alpha-Numeric Characters & no more than 12.  The computer can assign a password for you if you prefer. Password:       Operating System:    W'95    W'98    W3.1    Mac     NT Monthly Rates:  Unlimited Access $19.95 Additional E-mail Accounts $ 4.99 Access to Training Classes $ 6.00 Payment will be made by:   Check     Credit Card Account Requirements:  A credit card should be on file.  All services to the Internet will be pre-billed.   All bills will be billed on the 1st of the month and due on the 15th of the month.  If your account is not paid by the 15th of the month your credit card will be billed.  To cancel an account, a 30 day notice is required. No system is guaranteed to be operating perfectly at all times.  Response to system problems will be performed by network specialists and the network will be restored as quickly as possible.  Note: Connection at peak hours are subject to availability. Edistoelectric.net is providing only a conduit to the information; users must be wary of content.  Edistoelectric.net cannot be held accountable for information retrieved via the network.  In addition to the appropriate use of information, users need to consider the source of any information they obtain, and consider the validity of that information.  Edistoelectric.net does not assume liability for any information that may be lost, damaged, or unavailable due to technical or other difficulties.