State Long Distance

ElkNet On-Line Dial-up Subscription Form

Please fill out the form below to subscribe to the ElkNet Dial-Up Internet Service. You will be contacted regarding configuration and software.

Your Current Operating System:
Windows Vista
Windows XP
Windows ME
Windows 2000
Windows 98
Mac OS X
Mac OS 9
WebTV
other
Your software/instructions will be mailed to you once the account is created. If you currently have IE 4.0 (Win 95 or Win98) or Windows 2000 or Windows ME, the instructions can be faxed to you if you choose.
Fax number:

User ID (2-14 characters) and Password Codes (4-14 characters), no symbols.

User ID (1st choice):		NOTE: WebTV customers receive a logon name. The log on name will be webtv***, where *** are your initials. All WebTV sign ups will be contacted by our office regarding this.
User ID (2nd choice):
Password:

Would you like Jumpgate Accelerator for an additional $4.95/month? Yes No

Would you like Family Filtering for an additional $3.95/month? Yes No
          If yes, what disabling password would you like (4-14 characters)?

If a current ElkNet customer has referred you to ElkNet, we will give them a free month of internet service. Just provide us with their name (and phone number if known).
Referral Name:
Referral Phone: