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SureNet/Services/Residential Sign Up Form

To signup please complete the form below, or call us. Please note that this signup form is secure and your information will be protected.

If you see this bar at the top of your browser ...

... Please click on it and select "Allow blocked content".


Contact Information:

Contact Name:
Contact Email:
Contact Phone:
 Ext. 
  Business Information:
Business Name:
Street Address:
City:
Postal Code:
Phone Number:

 

Dialup Internet
Unlimited Dialup:
Includes 2 Email Addresses, 5mb Personal Web Space and Free Network Roaming
Seniors Unlimited Dialup:
65 years & up - Includes 2 Email Addresses and Free Network Roaming
Unlimited Plus - Dual Dialup:
2 Unlimited Accounts
Dedicated 24/7 Dialup:
Includes 2 Email Addresses
Plan A: 25 hrs/month Dialup:
Addtional hours $1.00 each - Includes 2 Email Address and Free Network Roaming
Plan B: 100 hrs/month Dialup:
Addtional hours $1.00 each - Includes 2 Email Address and Free Network Roaming

† Free Month on Yearly signups - Get 13 months for the price of 12.
* PureSpeed is SureNet's Fast Dialup Service.
   Click here for more information



Highspeed Internet Plans
High Speed Cable Access $99.99
Up to 7Mb/s - Includes 5 email addresses, 15Gb combined transfer limit
$49.99 hook-up fee + $50 returnable deposit on modem
High Speed DSL - 3-5Mb/s $69.99/month
Includes 5 email addresses, 5mb personal web space
No hook-up fee, $50 returnable deposit on modem
High Speed DSL - 6.0Mb/s $99.99/month
Includes 5 email addresses, 5mb personal web space
No hook-up fee, $50 returnable deposit on modem

 

Hosting Plans
$8.95
Budget Hosting (Unix)

Web Space: 10MB
Data Transfer: Not metered, Fair Access Policy
Email Addresses: 2
Email Aliases: 5
Support: Yes-email only
Back Up: Weekly, $50 recovery fee
Server Side Includes: Yes (Non-executable)
SSL Certificates No
CGI/Perl: Yes
PHP4/MySQL: No
Frontpage Extensions: No
   
$19.99
Basic Hosting (Unix)

Web Space: 40MB
Data Transfer: Not metered, Fair Access Policy
Email Addresses: 5
Email Aliases: 20
Support: Yes-email only
Back Up: Weekly, $50 recovery fee
Server Side Includes: Yes
CGI/Perl: Yes
SSL Support: Yes, $5/month*
PHP4/MySQL: Yes
Frontpage Extensions No
   
$24.99
Intermediate Hosting (Unix & Windows)

Web Space: 100MB
Data Transfer: Not metered, Fair Access Policy
Email Addresses: 5
Email Aliases: 20
Support: Yes-email only
Back Up: Weekly, $50 recovery fee
Server Side Includes: Yes
CGI/Perl: Yes
SSL Support: Yes, $5/month*
PHP4/MySQL: Yes
Frontpage Extensions Yes
   
$49.99
Advanced Hosting (Unix & Windows)

Format Unix or Windows
Web Space: 500MB
Data Transfer: Not metered, Fair Access Policy
Email Addresses: 25
Email Aliases: Unlimited
Support: Yes
Back Up: Weekly, $50 recovery fee
Server Side Includes: Yes
CGI/Perl: Yes
SSL Support: Yes. Included*
PHP4/MySQL: Yes
ASP: Yes
Frontpage Extensions Yes
   

 

*SSL Pricing

SSL Certificate: $ 179
SSL Setup Fee: $ 50

 

Domain Registration
Transfer Existing Domain?
Yes   No
Domain:

Additional Domains:
Domain 2:

Domain 3:


Do you have a SureNet Hosting account already?
Yes   No
SureNet Username:
Primary Email: @yourdomain.com

 

Please choose your User Name and Password:


DSL user names can only be a maximum of 6 characters.

Your user name will become part of your SureNet email address
(ie. 'username'@surenet.net)

Additional email addresses can be specified in the comments section.

User Name:  
User Name (2nd choice):  
Password:  

 

Please provide us with your payment details:
Credit Card | Pre-Authorized Debit


Credit Card Payment:


Card Type: Name on Card:
Credit Card Number:
*
Expiry (MM/YY): 
CVV2*: 

* CVV2 is a 3 digit value at the end of your account number printed on the back of your credit card.


Pre-Authorized Direct Payment:

Branch #:
Transit #:
Account #:
The transit number is composed of five digits representing the bank branch followed by 3 digits representing the financial institution. This does not include the cheque number which is near the transit number.

The bank account number can be anywhere from 7 to 21 digits and is your personal bank chequing account number


 

Any additional information you wish to provide:

SureNet Terms & Conditions:


I agree to the Terms & Conditions

    

 
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