VailNet/ColoradoNet offers the most reliable connectivity in both Eagle and Summit counties.
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Please print a copy of this form and the Terms&Conditions, and return it via fax/mail to VailNet:

Eagle County
VailNet New Accounts
P.O. Box 2812, 20 Eagle Rd.
Avon, CO. 81620
Phone 949-3318 Fax 949-3380		 Summit County
ColoradoNet New Accounts
P.O. Box 2606, 101 N. Main, Suite 8
Breckenridge, CO. 80424
Phone 453-0823; Fax 547-1394

Computer Hardware Requirements:

Windows 3.X - 95 - 98 - NT:
· Pentium Class Processor
· 28.8 Kbps modem or faster
· 32MB of RAM for Win 3.X
· 32MB of RAM for Win 95/98/NT
· 20MB of hard disk space 		Macintosh:
· System Software 7.5 or higher
· 28.8 Kbps modem or faster
· 32MB of RAM memory
· 20MB of hard disk space
· PowerPC requires G3 Processor

· All accounts include 160 hours of usage/month
· Usage above 160 hours/month is $1.00/hr.
· All monthly accounts are billed via a credit or debit card.

Internet Account Application

Full Name: (Person Responsible for Account)
Business Name: (if applicable)
Billing Address:
Physical Location Address:
City:
State:
ZipCode:
Home Phone:
Work Phone:
Fax Number:

System Information (circle your operating system)

Windows NT Windows 95 Windows 98 Windows CE Mac OS ver___

Payment Method (Visa/MasterCard/American Express)

Credit Card Number:
Expiration Date:
Signature of Cardholder:
__ Subscriber hereby authorizes VailnNet to automatically bill the credit card for monthly or annual service.
Check#
(Annual or first month payments only) Cash:
Temporary Account: Yes | No
Start Date:
Would you like the account canceled or suspened?
Cancellation/Suspension Date:

Type of Account

Type of Account
Usage
Monthly
Annually
Basic
160hours/month
$19.95
$200.00
Special Basic: For seniors 55+ and full time students
160hours/month
$16.95
$200.00
Basic Family:
160hours/month
$25.00
$250.00
Bonus Family:
160hours/month
$45.00
$450.00
Additional E-mail
n/a
n/a
$60.00
Small Business: 120.00 setup fee - includes domain registration
160hours/month
$30.00
$300.00
Business
Unlimited
$100.00
$1100.00
Setup Fee: (This is a one-time non-refundable fee)
n/a
$15.00
$15.00
Total to be billed    

User Information

Login Name: Needs to be 8 letters or less
Password: Needs be 6 to 10 characters with at least 1 number and 1 letter
Would you prefer to have your e-mail address be @ vail.net or @colorado.net ?

E-mail Only Accounts

Login Name
Password
1.)  
2.)  
3.)  
4.)  
5.)  

______________________________________________________________________
OFFICE USE ONLY

New Account Start Date:
Suspension Date:
Termination Date:

PAYMENT

Credit Card Billing Date:
Authorization Number:
Cash Payment Amount:
Amount Billed:
Check Payment AMT with #:
Automatic Monthly Billing Date:

Special Instructions: