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New Service Application
Bank Draft Request (optional)

Mail Forms To:
  PSTEL.Net
  P.O. Box 669
  Reynolds, GA 31076

To Sign Up OnLine:

Please fill out the required information below to initiate your request for service. To ensure your privacy, a PSTEL.Net customer service representative will contact you to acquire additional information for account approval, and begin the activation process.

There are several types of internet services, payment options, and setup decisions which need to be decided upon. Completion of this information in advance will speed up the processing of your account. Upon completion, press "Send This" and your request will be sent directly to our customer service department. You will be contacted within 24 hours.

First Name: Last Name: Address:   City: State: AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zip: Current E-mail: Phone/Day: Ph./Evening: Referred By:   (As part of our Refer-A-Friend Program, please enter the exact e-mail address of the individual which referred you to our service, if applicable.)       Type of Service Requesting: Dial-up Internet Service – Basic Plan ($9.95 per Month) Dial-up Internet Service – Standard Plan ($17.95 per Month) Dial-up Internet Service – Premium Plan ($21.95 per Month) DSL High Speed Internet – DSL Lite - $24.95 per Month (with 18 month commitment) - Available in Select Markets DSL High Speed Internet – Select Pak - $69.95 per Month (No Commitment) - Available in Select Markets DSL High Speed Internet – Select Pak - $39.95 per Month (with 18 month commitment) - Available in Select Markets DSL High Speed Internet – Pro Pak - $89.95 per Month (No Commitment) - Available in Select Markets DSL High Speed Internet – Pro Pak - $49.95 per Month (with 18 month commitment) - Available in Select Markets DSL High Speed Internet – Entertainer - $59.95 per Month (Available with 18 Month Contract ONLY) Not Sure   Method of Payment:   All DSL accounts will be billed directly on your local Public Service Telephone Company bill. For Dial-up Internet Service, available inside and outside Public Service Telephone markets, please select the method of payment below: Credit Card (Card # will be required by phone during account set-up) Bank Draft (Bank name, address, account # and routing #, will be required by phone during account setup)       Please Enter The Characters You See In The Box Above:     At the time of service activation you will be required to provide a User Name and User Password for your new account. Please be prepared by having this information when your customer service representative calls. If requested, additional e-mail addresses must also be established during the account setup process.