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INTERNET ACCOUNT APPLICATION
Mt Angel Telephone
Company
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Complete
all information requested below and return to :
Mt. Angel Telephone Company, 155 N Garfield St., PO Box 200, Mt. Angel,
OR 97362
Phone 503-.845-2291 Fax 503-845-6599
If you have any questions about this application please call our office.
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Account Information
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Contact Name
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Billing Name
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Street Address
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Mailing Address
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City
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City
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State
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Zip
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State
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Zip
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Phone
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Phone
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E-Mail
Login Name Selection
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(This in not a password, you will be issued a password to access
the system)
Login names are for individual mailboxes and must
be no longer than seven lower-case alphanumeric characters.
Your E-Mail login name will read: "username@mtangel.net"
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| Login name (preferred) |
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(second choice) |
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Additional
mailboxes are available for $5.00 per month
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Additional
mail boxes (if applicable)
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| Login
name (preferred) |
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(second
choice) |
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Preferred Login Password
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System Information
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In
order to set up your account, we need to know :
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| Make
and Model of your PC |
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| What
operating system are you running and what version is it? |
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What is the make, model & speed of your
modem you will be using to connect to our service?
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Charges to Users
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Unlimited
Package
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$19.95
per month
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Unlimited
usage
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Installation
Charges $15.00 charge per account and $10.00 service
order charge
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I
AGREE TO THE TERMS AND CONDITIONS LISTED ON THE CONTRACT.
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User's Full Name (please print)
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User's Signature:
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Date
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