Application Form

Your Link and Search Dial-Up account comes with 2 Email accounts.

Additional Email accounts or dial-up accounts available for a nominal fee.

Internet Domain Registration fees are billed by Internic separately. Please contact Internic for

any questions you may have, or other information regarding domain registration.

[FrontPage Save Results Component]

Please list your 1st. two choices for a Username (between 6 and 8 characters long, lower case ) and

Password (between 6 and 8 characters or numbers, or both; password is case sensitive) below.

Master Login UserName Password
Master Login UserName(secondary) Password(secondary)

Please list your 1st. two choices for an Email Name (between 6 and 15 characters long, lower case) and

Password (between 6 and 8 characters or numbers, or both; password is case-sensitive) below. If you leave
these entries blank then your Email Name will be made the same as your login name and password.
Email Name Password
Email Name(secondary) Password(secondary)
A copy of our terms and acceptable use policy can be read by clicking here - term agree. I hereby affirm that I have
read and understand all terms and conditions and accept the use policy of this contract, and agree to abide by it
entirely. I also affirm that I am legally qualified to enter in this contract, and I am at least 18 years of age. I am aware
that the Link and Search is a link to the world wide internet web and that the internet may contain information or
services, portions of which may contain inappropriate or offensive materials. Link and Search can not and does not
control the content of these materials. Any information and materials I choose to view or transfer is implicitly
bound by my consent, and I hereby waive all rights and claims to Link and Search and its officers.
Furthermore, I authorize Link and Search, or it's appointee, to charge $16.95 per month for
Internet Dial-Up Service, and any additional accumulative fees incurred, on my account to my
credit card on a monthly basis, until such time that I give formal notice of cancellation of service as
outlined in terms and agreements as posted at - term agree, herein mentioned above.
My credit card is a: Visa MasterCardAmex
The exact name on my card is:
My credit card number is:
My card expiration date is:
Date:
Company Name:
First Name: Mi: Last Name:
Address 1:
Address 2:
City: St: Zip Code:
Phone: Fax:
My sponsor is:

Please check all services below that interest you:

Web Design Internet Access
Consultation Other Services

Comments: