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     OPTIONS FOR ACCOUNT SIGNUP:

Please read the Telpage Acceptable Use Policy before progressing through activating an account.

Telephone - Simply call us from the convenience of your 
home or office to signup for Telpage Internet services.

Retail Stores - Visit one of the Telpage retail locations  
to activate your new account.

Online - Simply complete the information noted below 
and click the submit button.

  • Notables Regarding Online Account Signups:
    Online account signups are processed Monday - Friday, 
    from 8 AM through 6 PM. Please note that the transmittal of this form does not instantly create your account on the Telpage service. To ensure secure account activation, a Telpage account executive will retrieve your data and personally contact you to complete the activation process. 

 
  

CONTACT INFORMATION

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX


INTERNET ACCESS PLANS

Dialup Access Plan:


Choose Access Charge Preference (Deluxe Dialup Only):


Preferable Date for Service to Begin:

-- mm/dd/yy


PAYMENT INFORMATION

Method of Payment:


If you are paying via credit card, would you like us to automatically debit your account when the account comes up for monthly/annual renewal?

Yes No

If paying via credit card, please have the following information available when a Telpage representative contacts you to activate the account.

Credit Card #
Credit Card Expiration Date
Name as it appears on credit card

ACCEPTABLE USE POLICY

I have read the Telpage Acceptable Use policy and agree to the terms and conditions noted therein.

Yes No