Country I-Link Sign-up Form

Customer Information:

Name:

Address:  (Line1): 

                  (Line2): 

                       City: 

                      State: 

              Zip Code: 

Telephone Number: 

Current Email Address (if applicable): 

How Did Hear About Us?

Newspaper Ad Renewal of Country I Link Service Radio Ad Flyer Mailing Referred by Country I-Link Member Other

Select Your Internet Package:  (If Purchasing a Gift Certificate, Please Note in Comment Section!!)

ALL PACKAGES OFFER UN-METERED INTERNET ACCESS (300 hours/month guideline), 10MB OF PERSONAL WEB SPACE, 5 FREE E-MAIL ACCOUNTS, FREE E-MAIL VIRUS PROTECTION, AND FRIENDLY TECHNICAL SUPPORT.  NO SET-UP FEES!!

Standard Dial-up Packages:

Annual Package:  $109.00   $99!! (Fall Special Thru 11/30/08!!)

6 Month Package:  $69.00  

3 Month Package:  $39.00  

Monthly Package:  $15.95    

OR

Dedicated/Full-time Dial-up Package:  (Includes all features of the Standard Dial-up Package plus unlimited number of hours per month and longer session time-outs.)

Monthly Package:  $23.95

Add CIL Express Accelerator ? 

With CIL Express Accelerator you can surf the web up to 6X faster, block unwanted pop-up ads and banners, and protect your privacy on the Internet.  To learn more the CIL Express Accelerator click here.

No Thanks.  Maybe Later

Monthly Boarding Pass ($4.00)

3 Month Boarding Pass ($10.95) 

6 Month Boarding Pass ($19.95)  

12 Month Boarding Pass  ($29.95)  

What Operating System are you currently running?

NOT SURE Windows 95 Windows 98 Windows ME Windows 2000 Windows XP Windows Vista Linux/Unix MAC Other

Choose a username and a password.  Your username will become your email address with us (username @countryilink.net).  Your password can be a combination of numbers or letters and should be at least 3 characters in length.

                        Username: 

                        Password: 

Best Time to Contact You:  Daytime(9am - 5pm) Evening(After 5pm) Anytime Other(Use Comment Section To Specify)

Payment Information:

Please Choose Payment Method Check or Money Order Visa or Visa Debit Card MasterCard or Marstercerd Debit Card Discover

If Paying By Credit Card:

Card#:      Exp. Date:  (mm/yy)

CVC/CVV/CID Code (From Back of Card):    What's This?

Comments:  

Please use the following box to comment or ask us any questions you may have about our service.  We'd be glad to help.

Form Validation:  Please enter the Letters into the box as they appear from the image below:

By Clicking on the 'Submit' button, you are acknowledging that you have read and agree to our 'Terms of Service'