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E-Mail Subscription Form
This account cannot be used for any BULK MAILING or Unsolicited Email. Either Directly or
Indirectly!! |
Please fill in all information below.
Accounts
will not be entered without a full
name,
valid phone number, etc..
E-Mail Xpress will not start accounts
with
offensive addresses and account names
and
reserves the right to do so. Please
Allow
1 working day for activation.
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You will recieve confirmation and setup directions
when your account is activated. It will be
emailed to the e-mail address you provided
below.
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Subscriber |
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E-Mail Address |
To notify you when account is set up. |
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Name |
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Address |
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City |
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State |
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Zip Code |
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Country |
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Phone |
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Work |
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Work Fax |
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| Desired_Account_Information |
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Select a price and storage. |
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First Choice: |
@141.COM |
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Second Choice: |
@141.COM |
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Third Choice: |
@141.COM |
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Password: |
(At least 6 Characters Min!) User can change
later. |
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Forwarding Address |
When ordering a Forwarding account only. |
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Comments or Special Instructions: |
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Where did you find us?: |
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*YOU HAVE 2 WEEKS TO TRY OUT YOUR NEW E-MAIL
ACCOUNT WITH US. PLEASE READ THE FOLLOWING
CONTRACT. PAYMENT WILL BE DUE AT THE END OF THE 2
WEEK TRIAL PERIOD.
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You will be billed via e-mail and have 21
days after your email account is started
to remit payment to keep your account
active.
We accept Checks, Money Orders, VISA, MASTER CARD, DISCOVER, AMERICAN EXPRESS, and cash. |