2600 Skymark Ave.
Building 9, Suite 201
Mississauga, Ontario
L4W 5B2
 Tel: 416-385-0459
Fax: 416-385-0469
Email: sales@eol.ca

INTERNET PRIMER PLUS SIGN UP FORM

Company Name: __________________________________________
Company Address: __________________________________________
__________________________________________
City: __________________________________________
Postal Code: __________________________________________
Contact Name: __________________________________________
Contact Phone: ________________ Contact Fax: ________________
  
Domain Name: __________________________________________

Email Redirections

All email to yourcompanyname.xxx will be redirected to the default email account yourcompanyname

Example: email to sales@yourcompanyname.xxx will go to the account yourcompanyname unless you specifically specify otherwise.

Below is a listing of email addresses that you do not want to go to the default email account.

Remember: Do not specify names that you wish to go to the default email account.

ALL MAIL for yourcompanyname.xxx will go to the account yourcompanyname
Except
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname1
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname2
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname3
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname4
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname5
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname6
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname7
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname8
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname9
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname10
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname11
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname12
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname13
Mail for
@yourcompanyname.xxx will go to the account yourcompanyname14

* Please Note: If yourcompanyname is more than 13 characters in length the usernames for your email echo-web1 will be the first 13 characters of yourcompanyname.

Please choose a virtual hosting server (select only one):
Unix - Recommended (Apache Web Server with CGI and SSI Capability)
Windows NT (Microsoft IIS Server with Front Page Extensions, ASP and ODBC Database Capabilities)

Internet Primer Plus Price Structure  

Up to 56K Analogue 64K ISDN * Includes 350 Hours of Internet Access
Initial Set-up Fee $79.99 $79.99 * Additional Hours are $0.50
First Month $74.99 $99.99 * Total of 15 Email Addresses
Each Additional Month $74.99 $99.99 * Virtual Hosting of Domain Name
* All applicable taxes are extra

* Please Note: This account requires Domain Name Signup
* Please See: Managed Email Acounts for pricing on additional email echo-web1.
* Please See: Virtual Hosting sign-up sheet for additional Virtual Hosting options and charges.

_____________________ _______________________________________
Date Signature
Payment can be made via VISA, MasterCard, American Express or cheque. Please make all cheques payable to Echo Online Internet.