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Dial-up User Registration Printed Form

THANK YOU for your interest in WorldPath! We are here to get you linked to the world quickly, easily, and painlessly, without the hassle, busy signals, and long distance charges of the larger online access providers.


If you would like to pay by check or money order please click here to print a sign-up form, fill it out and send it in with your payment. (this form may take a few moments to load in your web browser) 

  • First Name
  • Last Name 
  • Company  
  • Mailing Address  
  • City/Town   State   Zip
  • Phone   Day Phone
  • E-mail Address 
  • When would you like your service to start ? (mm/dd/yr)
  • How did you you hear of WorldPath?


  • Do you have a CD-ROM drive? Yes No
  • What Computer Operating Software do you plan to use:
    Windows 3.1 or Windows for Workgroups Windows 95 
    Win 98 or Win ME/XP Win NT or Win 2000 / Professional
    Macintosh  WebTV
  • Select the data speed of your modem:
    14,400 BPS 28,800 BPS 33,600 BPS
    56K Don't Know
  • Choose a Login Name for your account: (a login, is a unique name for your account here at WorldPath and will typically become your e-mail address, i.e.  username@worldpath.net) (minimum three characters, eight maximum, lowercase only)
  • Choose a Password for your account: (minimum of 6 characters, eight maximum, case sensitive, numbers & symbols allowed, choose unusual combinations)
  • Choose one of the following Internet Access Plans:
    Expressway $19.95 Unlimited
    Yearly Expressway $199.50 Pre-pay and save!
    Cyber Cruiser $39.95/mo Multi-User Log-in
  • You will be contacted regarding methods of payment at the phone number you've already provided.
  • Fill in area below ONLY if you would like to add an additional e-mail account for $3.00 a month.
  • Would you like an additional E-mail address, at a cost of $3.00 per month?
    Yes No
  • Choose a User/Login Name: (minimum three characters, eight maximum, lowercase only)
  • Choose a User/Password: (minimum of 6 characters, eight maximum, case sensitive, numbers & symbols allowed, choose unusual combinations)

               
 

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