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" Dialup Service - Signup Form"
High Speed Internet

Thank you for choosing CVC Internet as your Internet provider.  To activate a dial-up account, please complete the following information below(*required information). Once the form is complete, click submit or print a copy of the form and fax it to 541-884-8943, or bring it by our office located at 2250 South 6th Street, Klamath Falls, Oregon.

You will be notified when your account is active and will be instructed what to do for setup.  If you do not receive a confirmation within 24 hours, please contact the office at office@cvc.net or call (541) 884-5488.

Please Note:  If you sign up for service after the tenth of the month, please contact the office for the first month's peroration fee by calling (541) 884-5488 or by e-mailing office@cvc.net. For accounts paid by check or money order, service will be activated once the first service payment is received by CVC.  All Dial-up Services are available in the Klamath County, Oregon region only.

Before signing up for service, please review our System Requirements and Conditions of use.

If you have any questions, please call 541-884-5488 or email office@cvc.net.

 


* Required Fields

* First  Name

* Last  Name

Company Name
* Street Address  
* City
* State
* Zip Code
* Billing Address

* City (Billing)

* State
(Billing)
* Zip Code(Billing) 

* Contact  Number
Secondary Contact  Number
Fax Number
* E-mail Address
* Type Of Service


Service Terms and Conditions

* Method Of Payment
First Month's Service Must Be
Paid Before Service Is Activated.

Method of Payment Terms and Conditions
Credit Card Number
Name On Credit Card
Expiration Date     
 Pin Number
* Billing  Notices
Billing Terms and Conditions
Forwarding E-mail Address
If you have an established e-mail account
such as HotMail that you would like your
CVC Internet e-mail forwarded to, please
enter the e-mail address above. 
* Type of  Setup
* User  Name
User Name Instructions
*Password
Permission Instructions
*Computer In Use

 

 

 

 

 

 

CPU:   Pentium AMD Celeron 


Processor Speed: 
133-300 333-500 533-700
750-900 900 and above


Type of Operating System:
Windows 
95 98 ME 2000 NT XP

Macintosh
Standard I-Mac


Type of System:
Desktop  Notebook

Browser:
Internet Explorer  Netscape
Other Program:

E-mail:
Outlook Express  Outlook   Netscape
Other Program:

Comment   
 
Minor Consent Minor Consent Terms and Conditions

I agree to the Terms and Conditions
for subscribers under 18 years of age.  

I do not agree to the Terms and Conditions
for subscribers under 18 years of age.  

Terms of Service

By clicking the Submit button, you are agree to CVC Internet's Terms and Conditions of Service - Service Terms and Conditions.  If you have any questions regarding service or terms of service, please contact CVC Internet at (541) 884-5488 or office@cvc.net before signing up for service.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This Web page contains links to other Internet sites. Such links are not endorsements of any products or services in such Web sites, and no information in such site has been endorsed or approved by CVC Internet. CVC Internet disclaims any responsibility if some Web site you link to has material on it that offends you in any way. If problems or questions arise with the use of any of the Websites showing above, please contact 
the company that owns or operates the site.

By using this Web site (CVC Internet), you acknowledge that you have read the Terms of Conditions of Service and the disclaimers contained in this site, and that you accept and will be bound by the terms thereof.

© 1996-2007 CVC Internet.  All rights reserved.

Certain names, logos, designs, titles, words or phrases on this site may constitute trademarks, service marks or trade names of CVC Internet  or other entities which may be registered in certain jurisdictions.