Jonesboro Sun / Newroads Customer Sign Up Form
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About Newroads
Access Cities
Broadband Services
First Name:
Last Name:
Company Name:
Current E-mail:
Daytime Phone
(xxx) xxx-xxx:
-
Evening Phone
(xxx) xxx-xxx:
-
Address:
City:
State:
Zip:
Billing Info:
<select one>
Credit Card
Debit Card
ACH
Paper Statement
Email Billing
Please select the service you desire from the boxes below. You may review
dial-up services here
and
web hosting services here
.
Please choose a desired User Name / Login (first part of the customers primary email address). It must consist of all lower case letters or numbers, from 4 to 16 characters in length beginning with a letter. To avert the possibility of submitting a duplicate user name with your order, please advise customer to select a more diverse variety of characters and numbers. Example: basmith123. Passwords must consist of 6-12 characters in length and include at least 1 capital letter, 1 lower case letter and 1 number. We suggest placing the capital letter in the front of the password and the number at the end. Example: Rocket1. The password chosen must not duplicate or resemble the customers desired user name. It is not necessary for the customer to choose all three email accounts during the Newroads sign-up process. Additional accounts can be added at any time at the customers convenience.
Primary User Name / Login / Email account:
Password:
Secondary Email Box:
Password:
Third Email Box:
Password:
56k Dial-up:
<select service>
Newroads Unlimited
Newroads Unlimited-Annual
Light User
Light User-Annual
Standard Metered
Standard Metered-Annual
Access Only
Access Only-Annual
Dedicated 56k
Dedicated 56k-Annual
E-mail Only
Web Services:
<select service>
Web Hosting
Corporate Domain Hosting
Promotions:
<select promotion>
Promotion #1
Promotion #2
Promotion #3
Content Filtering:
No
Yes
If you were referred by another partner, please enter that person's information below.
First Name:
Last Name:
E-mail: