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This form is only for dial-up accounts.  If you need to signup for a different type of account please email sales@romanweb.com.

Contact Information

   First Name:  
   Last Name:   
   Company Name:
   Address1:    
   Address2:    
   City:        
   State:        Zip:
   Home Phone:  
   Work Phone:  
   Fax:         

Billing Frequency

   Monthly ($18.95)
   Quarterly ($17.95/month Prepay 3 months)
   Semi-Annual ($16.95/month Prepay 6 months)
   Annual ($15.95/month Prepay 1 year)

Billing Information

Credit Card
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  visa.gif (575 bytes)     mastercard.gif (2009 bytes)

   Card Number:
   Expiration: 
   Name on Card:
.

   Check/Money Order - Your account will not be activated until we have received your check.
   Existing Subscriber - If you are already an Romanweb subscriber, please provide us with your username and password and we will bill your account.

      Username:
      Password:

 

Account Information

Please list three choices for your username.  This will be your Romanweb login ID, as well as your email address.  Usernames must be at least 4 characters in length and MAY ONLY consist of letters, numbers, dashes (-), dots(.), and underscores(_).  Punctuation characters such as commas (,), asterisks (*), ampersands (&), etc. are reserved and may not be used.

First Choice: 
Second Choice:
Third Choice: 

Please enter a password.   Passwords must be between 4-12 characters in length and MAY ONLY consist of letters, numbers, dashes (-), dots(.), and underscores(_).  Punctuation characters such as commas (,), asterisks (*), ampersands (&), etc. are reserved and may not be used.

Password:
Confirm: 

frontpagelogo.GIF (2157 bytes)

Would you like Microsoft FrontPage/CGI Web Publishing? $4.95/month; $10 setup fee
Provides FrontPage extensions and user controlled cgi-bin for executing scripts such as feedback forms and hit counters.

URL is http://www.romanweb.com/username

FrontPage Extensions? Yes No

Comments

Please include any additional information pertaining to your subscription below.  Also specify how you would like us to contact you to tell you that your account is setup.  Also specify what hours we can contact you if necessary.

Terms of Agreement

I agree not to use my Romanweb account for the transmission
of Unsolicited Bulk Email (UBE) or to otherwise violate
the published Romanweb Acceptable Use Policy (AUP).

I also agree that I will pay at least one month's account charges
regardless of any reason, whether I move, cancel my account,
or if my account is terminated because I violate the Romanweb's AUP.