Terms of Service
 elf Service Registration Form
Choose the perfect Internet Account for your needs. We offer 3 types of Self Service Accounts.
Account Type:
Bronze:
$9.95/mo,$25.00 one-time setup fee.
Silver:
$29.95/mo,$50.00 one-time setup fee.
Gold:
$49.95/mo,$199.00 one-time setup fee.
Domain Name: (yourwebaddress.com) * required
Organization/Company Name: * required
Address: * required
City: * required
State: * required
Zip Code: * required
Administrative Information:
Administrative Contact: * required
Address (if different):
City:
State:
Zip Code:
Phone Number: * required
Fax Number:
Email Address: * required
Billing Information:
Accounts Payable Person that
InterNIC Invoices will be sent to:
Address (if different):
City:
State:
Zip Code:
Phone Number:
Fax Number:
Email Address:
Invoice delivery: * required
Terms of Service
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