Affordadble Dial-Up Internet

	Erath Internet Sign Up Form
	Attention: Please use a valid email address. You will receive registration conformation by email.

	Please click here to

	* - required fields

*Name ::
*Address ::
*City, State, Zip ::
*Phone ::
*Contact E-Mail Address ::
Additional Information ::
Please choose a user name and password for your account.
*User Name ::
*Password ::
	Add Page Accelerator - $2.95 per mo

Promotion Code ::
Please allow up to 8 hours for your account to be set up. In most
cases we set you up within 30 minutes. Please Call (254) 965-5711 to
be set up instantly.