Netlink Communications Online Service Application Form. If you have not read our service policies please do so now.

Date: M/D/Y

Name First, Last:

Co-applicant Name First, Last:

Street Address:

City:

Zipcode:

Phone: 000-000-0000

SELECT SERVICE PLAN
E-MAIL
Budget Plan
Individual Plan
Extended Plan

HARDWARE TYPE
Macintosh
IBM/Compatable

I would like a Netlink represenative to set up my computer for me. I realize I will be charged $40 per hour, with a minimum of 1/2 hour.
Yes No

BILLING OPTIONS
Monthly
Quarterly
Yearly – Special Discount for Annual Billing

Select a user name. Eight characters or less. If left blank, we will use your first initial and last name.

Password: This is only to start account and may be changed once active.

I have read and do agree to follow Netlink’s service policies.
Yes No