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BILLING INFORMATION
   
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip: *
Phone:
   
TYPE OF PAYMENT *
 
Wireless Broadband Services
 
1 Month Wireless Broadband $49.95
1 Month Wireless Broadband $79.95
 
Normal Services:
 
1 Month Personal Dial-up @ $19.95 per month
3 Month Personal Dial-up $56.85 @ $18.95 per month
 
Discounted Services:
 
(NOTE: If you are not already subscribed for these services, we will not accept your payment.)
 
1 Month Senior Dial-up @ $16.95 per month
3 Month Senior Dial-up $47.85 @ $15.95 per month
 
For a special amount or other service, you may use the space below to let us know how much you would like us to charge.
   
Other Amount: $
 
CARD INFORMATION
 
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QUESTIONS AND COMMENTS
 
 
By submitting this form, you authorize ARINC-Cybertime Network Services to charge your credit card or debit your checking account for the amount indicated above.
 
(Your initials in this box below constitutes your electronic signature)
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Cybertime merger may add jobs

Cybertime joins ARINC as a subsidiary
 
 
 
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