Our Dialup Services - Sign Up Form

 

Today's Date  :    MM/DD/YYYY
Name  : 
Company  : 
Mailing Address  : 
City, State, Zip  : , 

Home Phone  :  Fax  : 
Work Phone  :  Current E-mail  : 

How did you hear of us?

Modem Speed:  33.6 Kb      56 Kb      ISDN    

Modem Type:  V.34      V.90      V.92    

Operating System: Win 98   Win NT   Win 2000  
Win XP   Vista   MAC OS Version  

Do you have Extended Area Service (EAS) with your phone company?  Yes   No   I'm not sure. 


Please indicate type of service desired:
(All Unmetered Access accounts include 5 E-mail & 25 Mb storage. Prices per month.)
 Unmetered $21.95
 Unmetered - Annual Billing $239.40
 Dual Unmetered $39.95
 ISDN Unmetered $42.95
 Educator Unmetered $18.95
 Basic - 30 Hour Account $17.95

Pick a user name and password for each
Login Account or E-mail Address:

(USER NAME: maximum 14 characters. PASSWORD: minimum 8 to maximum 16* characters each. You may only use letters or numbers. *Macintosh maximum 10 characters. [Help])

User Name:   Password:  Login & E-mail

Please subscribe me to the "Postini Message Center":  Yes   No  
(Online SPAM and Virus Filter available to WVI customers at no charge.)

Optionally 4 more E-mail addresses (at no extra charge with all unmetered accounts)

User Name:  Password:  2nd E-mail (Optional)
User Name:  Password:  3rd E-mail (Optional)
User Name:  Password:  4th E-mail (Optional)
User Name:  Password:  5th E-mail (Optional)

I need more than 5 e-mail addresses. I would like additional
E-mail Address(es) at $1.00 each. Please contact me about this.



Payment Method:
 Mail me a monthly invoice 
 Automatically draft my checking account* and mail me a monthly statement 
 Automatically bill my credit card** but don't mail me a monthly statement 
 Add my Internet charges to my phone bill (Stayton Telephone, Peoples Telephone and Neo customers only) 
 Tell me how I can receive and pay my bill Online

*To set up Autodraft, we will need additional information and a voided check. A form will be mailed to you.

**Enter credit card information below.

Payment Method via Secure Form
   VISA   MasterCard   Discover 
Card Number:
Expiration:  / 
Name on Card:
(if Different from above)
Optional: Check this box to authorize WVI to automatically charge your credit card monthly:
 I authorize Willamette Valley Internet to automatically bill the above credit card each month for my account.


Please make checks payable to Willamette Valley Internet and mail to: Stayton Office - P.O. Box 517, Stayton, OR 97383

Terms and Conditions of Service


Comments

 

Click the "Sign Up" button to authorize the charges for the service as selected above. You also acknowledge that you agree to the Terms and Conditions of service as stated above.

 

The information that you provide is subject to verification.
If you leave without clicking the "Sign Up" button, your order will be cancelled automatically.


 

 

Help Picking a Username and Password

    Username
  • It cannot be any longer than 14 characters maximum.
  • The Username you pick also becomes your e-mail address at WVI.com. e.g. username@wvi.com.


  • Password
  • It must be at least 8 characters long.
  • It must start with a alpha character.
  • It cannot start with a number or extended character.
  • It cannot be all numbers.
  • Ampersands (&) are not allowed.
  • It is best if it's a mix of alpha characters and numbers.
  • Passwords are CaSe SeNsItIvE.
  • It cannot be longer than 16 characters.
    If you have a Mac, it cannot be longer than 10 characters.

 

 

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Willamette Valley Internet, LLC
475 North Second Ave.
Stayton, OR 97383
Salem Area: 503-399-1984

Stayton Area: 503-767-1984

info@wvi.com

Copyright © 1994 - 2005 WVI

All Rights Reserved.

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WVI is member of the SCTC Family of Telecommunications companies