On-line Sign Up dark blue curve
dark blue curve __ dark blue curve
|

Thank you for your interest in InterNet Connect! To sign up for a free 14 day trial, please fill out the appropriate fields below and click the submit button. Please include your full name when filling out this form. Any forms with improper information will not be processed. By submitting this form you agree to abide by Internet Connect's Terms of Agreement. Please allow up to 48 hours for processing, you will be notified by phone when your account is ready for use. *Please Note that some versions of AOL's browser will return with a server error message when submitting the form. If this is the case, please call 1-610-690-2197, we will be glad to sign you up.

Member Referral Program
Have you been referred by another Internet Connect user? When you have finished your 14 day free trial, and sign up for either a month to month, 6 month, yearly or 2 year plan, the person who referred you to InterNet Connect will get $25.00! So, do that person a favor and enter their name and User ID in the pertaining fields below to earn them $25.00! You will then be eligible to get $25.00 when YOU refer someone to InterNet Connect.

Full Name:
Address:
City:
State:
Zip:
Phone Number:
Best time to reach you at the number listed above: AM PM
User ID:
(4 - 8 Characters)
(lowercase letters only)
User ID:
(Second Choice)
(lowercase letters only)
Password:
(5 character minimum)
Operating System:

Win95

Win98

WinNT

Macintosh

Current E-mail Address:
How did you hear about Internet Connect?
Please let us know how you heard about us. If you were referred by one of our subscribers, please put their User ID in the box below:

If you heard about us from a Radio or Newspaper ad, please let us know which one in the box below:

Referrer's Name:
Referrer's User ID:

-
lite blue curve __ lite blue curve