INTERNET-FRONTIER New Account Setup Information Account No.______ Customer Name_________________________________ Activation Date_________ Billing Address_______________________________ Home Phone______________ City_______________________State____ ZIP______ Work Phone______________ Customer Uses: ACCOUNT TYPE: ADDED SERVICES: Windows 3.1 __ _ PPP(Personal) ___Addl. email address Windows 95/98/ME __ _ PPP(Business) ___FTP Upload Macintosh __ _ Shell _Combo ___ISDN Linux/Unix __ _ Student PPP ___DSL Windows NT/2K/XP __ _ Midnight User Other (specify) ________ _ 24/7 RATE___________ PPP(Internet) and POP (email) Account USERID: _____________(must be lower case; your email will be your USERID followed by @ifn.net) Password: _______________(must contain at least 1 non-alphabetic character, minimum 5 characters) Network Address Information for PPP accounts: Domain Name Server (DNS): Configure DHCP Secondary DNS: Configure DHCP Incoming (POP3) Mail Server: pop.ifn.net USENET Server: news.ifn.net Outgoing (SMTP) Mail Server: smtp.ifn.net ------------------------------------------------------------------------ | Complete this part only if signing up for a shell or combo account | ------------------------------------------------------------------------ | Shell Account USERID: ______________(Must be lower case) | | Shell Account Password: ______________(Must be at least 5 characters,| | 1 must be non-alphabetic ; | | You can change this password | | yourself, and should often) | ------------------------------------------------------------------------ I agree to comply with the terms, conditions and access policies of INTERNET FRONTIER and any other networks accessed through INTERNET FRONTIER. ACCOUNT ACTIVATION OBLIGATES YOU TO A MINIMUM OF ONE MONTH'S PAYMENT. THIS SIGNED FORM AND PAYMENT FOR YOUR FIRST MONTH MUST BE RECEIVED WITHIN 5 CALENDAR DAYS OF ACTIVATION TO AVOID SUSPENSION OF ACCOUNT. THEREAFTER, REGULAR ACCOUNT INVOICES ARE SENT MONTHLY BY EMAIL. CANCELLATION IS NOT AUTOMATIC; REQUEST MUST BE IN WRITING, BY U.S. MAIL OR FAX, NOT EMAIL, AND IS EFFECTIVE ON THE LAST DAY OF THE MONTH IN WHICH WE RECEIVE IT (FOR DSL, CANCELLATION IS AT THE END OF THE CONTRACT TERM). SEE OUR "TERMS, CONDITIONS AND ACCESS POLICIES' FOR FULL DETAILS. CUSTOMER SIGNATURE ___________________________________________ DATE________ Parent/Legal Guardian ________________________________________ DATE________ (Required if customer is under age 18) ---------------------------------------------------------------------------- Please fill out this form completely, SIGN IT, and FAX to 925-938-2980. You may mail or deliver it to 1555 Third Avenue, Walnut Creek, CA 94597.