MFX Internet Service
User Agreement
PO Box 869  422 Main Street   Presque Isle, ME 04769
764-4024    Fax 207.764.4601   800-825-7783   www.mfx.net
Customer Name:


Mailing Address:


City, State, Zip:


Work Phone:


Fax:


Home Phone:


Desired Username:

 		         
Note: up to 10 characters, all lower case.
It will become the first part of your email address.
If John Doe chose "jdoe" as his username, his email address would become: jdoe@mfx.net
Alternate Username:

 		         
Password:

 		         
Must be 6 to 10 characters and/or numbers.
Must contain at least one capital letter!
What type of system are you using?
   Win2000    Win98    Win95
   WinXP    Mac    Web TV
Plan Monthly Fee Hours
per
Month		 Additional
Hours
    Wireless  $49.95  None  N/A
    Unlimited  $29.95  N/A  N/A
    UnMetered  $19.95  N/A  N/A
    Economy  $14.95  20  $1.95
Setup fee for dialup accounts$20
Telephone Tech SupportFree
House Calls$30 minimum
Bill me by Email or Snail Mail
Please charge access fees to my credit card:
   VISA    MASTERCARD    DISCOVER

__ __ __ __- __ __ __ __- __ __ __ __- __ __ __ __

Expiration Date: Month __ __ Year __ __ __ __
How did you hear about us? (check one)
   Friend    Radio    Yellow Pages
   CoffeeNews      Computer Store      Other
Other or Computer Store:

Special Agreements:


Virtual Website Hosting $19.95/month
Extra Emailboxes $1 per month


The term of this agreement starts____________________________and ends 90 days from the start date.
(today’s date)

This agreement will be automatically renewed for a term of equal length at the expiration of the current term unless the customer notifies MFaXcess in writing prior to the expiration of the current term.

I, the undersigned, have read and understand the agreement in its entirety, and agree to be bound by the terms and conditions contained therein. I understand that this document and any authorized attachments and/or amendments constitute the full agreement between myself and MFaXcess Internet Service, and supersede any previous oral or written understanding. With my signature, I certify that I am competent and have the full authority to execute this agreement on behalf of my respective person(s) or organizations.

Customer:________________________________
___________________________________
_____________
(printed name)(signature)(date)


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