Online Activation Part 2


	• Coverage • Pricing • Software • Use Policy • Online Activation Form

	Online Activation Form

		Enter Your Personal Information To complete your registration, please fill out the fields below.

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Country

Day Phone:

Fax:

Home Phone:

Fax:

Current E-Mail


	Choose a username and password to access Nebulis Networks. Your username will be part of your e-mail address (e.g. username@nebulis.net). We will assign your login identification. Usernames can be a maximum of 12 lowercase letters and digits. Passwords must be 4 to 8 letters and digits and is case-sensitive. We recommend adding a number to all passwords.

Username:
Password:
Password Again:
	Use username and password from existing hosting account.

Please choose the network your would like to access. Once on a network you can access the Internet from any number on that network. - find location

Network 1 Locations Network 2 Locations

If you were referred to us by a Nebulis Member or Associate, please enter their ID number or e-mail address below.


	The credit card information you enter below will be used for billing. Nebulis will charge your monthly fee to your credit card automatically.


	The Nebulis EasyConnect is a untility wizard that automatically sets up your Nebulis Internet connection. This software is available for download (about 5 minutes @ 28.8 kbps) or you can recieve a copy on disk free of charge.

Please send EasyConnect for Win95/98/NT/2000 on disk.


	Please check the information you have entered. If it's correct, then we're ready to process your registration. Click Submit to complete your registration. If you'd like to clear the information you entered and start over, click the Clear Form button.


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