Internet Service Provider

Application

 

Christian Ministries United is pleased to announce, through an exciting new partnership with NetConnect a new service to the community – Internet access that is affordable, but with features that would cost much more from other commercial providers. Its most incredible features include:

• SPAM control
• Virus protection on all incoming emails
• Internet filtration
• No advertisements
• 5 email accounts
• 5 Megabytes of web space
• Read your emails from anywhere online
• About 10% (or more) given to the ministry of your choice

 

All this with unlimited minutes for just $19.95 a month (very easy access 56K dial-up – DSL & T1 available), automatically billed to your account. Please fax this document to (804) 330-0285. Service will start immediately or when you choose. More detailed information can be found at www.cmu-richmond.org

 

Name: ______________________________________

Address: ___________________________    City: ____________    State: _____     Zip: ________

Phone: _____________ Cell: _____________ Best time(s) to call (for setup): _______________________

Current Email: _____________________________________

Desired new email address: _____________________  @wholecity.net (ask us about vanity addresses)

Start date: _____________ (Month)     Designated Ministry Beneficiary _____________________________

How did you hear about us? ________________________________________________________________

Method of payment:

q       Automatic check withdrawal. Routing number: ________           Account number: _________

q       Credit card (circle one) Master Card                             Visa

Name on the account: _______________________________________

Account number: ____________________________

Expiration date: _______________

Address where your statements are sent: _________________________________

Operating System (Circle): IBM (95, 98, XP, NT);          Apple

I hereby authorize NetConnect, Inc. to charge the above account monthly for these services.

 

_______________________  ________________________________        Date: _________________

Print Name                               Signed