First Name Middle Inital Last Name
Address 1
Address 2
Address 3
City State/Province Zip Code
Phone Number Fax Number
Alternate E-Mail Address
Where did you hear about InstaNet Internet?
Special Offer Number (if any)?
Which Level of Service is for you? E-Mail Only Account $2.95 per mo.(Paid yearly) Standard Account $9.95 per mo.
Make three choices for your InstaNet login name. You will be assigned the first one not yet in use!
Your login name should be at least three characters long and no longer than eight, and must begin with a letter.
InstaNet Internet charges $9.95 a month for standard Accounts. This includes:
Payment Schedule -Service is prepaid each month, and additional charges are calculated and charged at the end of each month. Each account requires a one month additional setup fee. The setup fee is waived if the first three months are paid in advance.
To pay by Credit Card, fill out and fax us our Membership Application. To pay by Checking Account Debit, fill out and fax us our Membership Application. You have 7 days to make your first payment by check to:
Instant Internet P.O.Box 3457 Chatsworth, CA 91313 Fax to: (818) 882-4440
Return to the Main InstaNet Page