Print out this order form, then fill it out for the services you want, and mail it and the monthly service contribution to: "Richard" (at NetWARM), P.O. Box 827, Ramona, Ca. 92065

Internet Service Order Form (v-1.3)

Original order date:
 
(Keep a copy) MM/DD/YY

Today’s Date: MM/DD/YY
(Keep a copy)

Cust’s prg. #:  area -prog’m -year-  position  #

Only one customer  per rebate program!

Check
Only
One

One
Time
Fee

Monthly
Fee
*
$       

NetWARM Business Promotions
for NetWARM.net Internet Services

Unlimited Dial-up Access
(+ e-mail addr. & /~“yourwebsite”)

 

 

10
(15 for National)

Sponsor’s #:  area -prog’m-year-   position   #

Cust’s orgin. # :  area -prog’m-year-  position  #

e-Mail Address & Website

 

 

5

E-mail addr.:           user_name@domain_name

Home Business DSL

Speeds to 784 Kb/s

One time installation fee of $300.

(A bridge is an additional $260.)

 

 

N/A

Your name:   first                     last

 

300

 

Snail mail:

address name

city             ,     state           zip code

Business DSL Speeds to 784Kb/s

One time installation fee of $300.

(A router is an additional $370.)

 

 

N/A

Phone No.: (area code) prefix -

 

300

E-mail addr.:     your_name@other_domain_name

Domain Name Hosting

Domain name registration is $15

 

 

10

Desired user names and aliases:
(Choose a unique name of 12 characters or less. Aliases can have more than 12 characters.)

 

 

e-Commerce
(There are additional services costs of $100/month.)

One time setup fee of $50

 

 

30

Domain Name:

 

50

Action: (Circle) New / Add / Del / Change / Pay’t

*Pay in postal m.o. or cash only

Totals:

 

 

Rebate Rules: 1) To be eligible for rebates you will need to sponsor at least one friend; 2) All rebates are paid in American Liberty Currency warehouse receipts (See NORFED.org); 3) You are of 18 years old or over; 4) You will need to provide your current mailing address to receive monthly rebates; and 5) You will need to have this  mail order form filled out and your contribution post marked by the 10th of the month it is due . Checkmark here [    ] if you included questions or comments on the reverse side of this order form. Checkmark here [    ] if you understand the above rules.

Last update: 02/09/2004

Return to: NetWARM Internet Services   ||  Advanced Service Packages