Limo.Net Internet Services. Domain hosting and 56K dial up internet access.

Limo.Net Internet Services
Dialup or Site Hosting Signup.

This section is required for both dialup and site hosting.
Please fill out this form the best you can. We will call you to go over the details if necessary, so please be sure to include your daytime phone number.
required field
First Name
Last Name
Company Name
Address
City
State , Zip Code	,
Daytime Phone	Please include A/C**
Evening Phone	**
Existing email address or Nobody@Limo.Net
Reffered to Limo.Net By:	E-Mail Address or Name
Offer Code:	Printed in ad or CD-Jacket
Master Account	If additional account.

Username and Login Information:
This will also be you E-Mail address: ie: Username@Limo.Net
First Choice:
Second Choice:
Password:
Account Type:
Operating System:
Dialing In From:

Billing Details:
This form will go secure! If you must see the little lock first you can use this link and start over. If not just fill in the form and it will go secure BEFORE any data is transferred!
Billing Method:
Name as it appears on Credit Card:
Credit Card Type:
Credit Card Numbers -or- none:
Validation Code on back of Card:	CVV2/CVC2 #
What is CVV2 or CVC2? The CVV2 / CVC2 is a three-digit security code that is printed on the back of cards. The number appears in reverse italic at the top of the sigature panel at the end (see sample). This program helps validate that a genuine card is being used during a transaction Note: code is on the FRONT on American Express Cards!.
Credit Card Expiration Date:

Account name as it appears on your checks:
Bank Name:

9 Digit Bank Transit #:	Between the smiley faces.
Bank Account Number:	Generally 10 digit(s).
Account Type:

Site Hosting Details:
Domain #1. ie MyDomain.Com
Domain #2. ie Other_Domain.Net
Domain #3. ie Money.Org
Webmaster's Password:	8 Characters or less.

Dialup and Hosting Services Needed.
Services:
Additional Needs & or Comments:


Apply with confidence! Our site is secured by:
If your Browser does NOT support secure connections please use our NON Secure Signup Page: http://newuser.limo.net/isp-form-unsecure.html Want to apply via FAX please use our ISP PDF Form.