Family Entertainment Network

Are You Ready? Well -- you've looked at the features, and you are interested in becoming a customer of Family Entertainment Network. Nothing is simpler. Fill out the following form and push the "Submit Account Info" button when you're done. The technical support staff will call you upon receipt of the e-mail. If you prefer, just print out our Registration for new accounts and mail or bring it in to our store, located at 1123 S. Broadway, Pittsburg, Kansas. You can also call us at 620-231-7777.

I am interested in the following type of account:
      Personal Account ($14.95 per month)
      Business Account ($14.95 per month)
      Unlimited Access Business Account ($14.95 per month)
      E-Mail Only ($5 per month)
      Dedicated Line ($120 per month)
      DNS and Domain E-Mail ($15 per month)*
      Domain Hosting ($15 per month w/dial in, $30 without)*
      Wireless Gold Account ($49 per month)
      Wireless Diamond Account ($69 per month)
      Wireless Sapphire Account ($89 per month)
      Wireless Small Business Account ($79 per month)
      Wireless Medium Business Account ($99 per month)
      Wireless Large Business Account ($119 per month)

I am also interested in the following additional options:
      Extra E-Mail Account ($2 per month w/dial in)
      Additional Full Access Accounts ($9.95 per month)

*If this is a domain hosting and/or DNS solution, please give the name of your current domain: (ex: yourdomain.com)

Name:
Company:
Phone:
Email:**
Address:
City:
State:
Zip:
User-Name: Must be 3-30 characters Letters and/or numbers ONLY
Password: 3-15 characters recommended a combination of letters and numbers NO SPECIAL CHARACTERS		Please note that your password will only appear as asterisks - this is normal and for your protection.
Confirm Password Please re-type your password exactly

** If you currently have no e-mail address, please enter the e-mail address test@fament.com so that your form will be accepted. Thank you.

Comments or Special Requests:

By: Beverly

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Produced by: Eje Gustafsson and Beverly Gustafsson

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