Kewanee OnLine - Online SignUp Page

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New User Registration

KewaneeOnLine welcomes you to the Information Super Highway. Our service requires the completion of this form. You must be at least 18 years of age to sign up for Internet service. If you have questions regarding this from, please call 309-853-2049

Note: Your name, address, and phone number must match your credit card billing address for us to charge your credit card. If they do not match, we can not charge your credit card and open your account!

Full Legal Name:
Company Name (if applicable):
Address:
City:
State:
Zip:
Home Phone:
Work Phone:		Extension:
Driver's License:
State Issued:
Birthdate:
System showing you'r login from:
You'r login from IP Address:

Please TYPE IN the following:

Username:

Password (Case Sensitive)

**The "username" is part of your email address. If you select "john," then your email address will be john@cin.net. The username may be up to 8 characters, minimum of 5 characters. The "password" is what your need to get into your email and Internet. This must be secure and not be given to anyone. Do not use a dictionary word , from any langauge, as your password. A good password is a mix of characters and numbers (i.e. 17Gkr# of *3gKDF) Remember, it is case sensitive. The minimum length of password must be 6 characters

Payment Type:
Credit Card Number:		Expiration Date:

** If you select payment by check, your account will not be activated until your payment is received.
** If you select payment by credit card, your account will be herein automatically charged for renewal when your current term expires. You need to contact billing@kewaneeonline.com if you want to change the payment method.

Computer Type and OS: WIN95/WIN98 NT WIN3.x UNIX MAC

By clicking on the "Submit" button, you agree to follow all Cin.Net User Policies as stated in the User Policies documentation, and be bounded to the payment terms above.

Other Notes