Unix Shells Order Form
All fields in
bold
are required.
We accept payment by check, money order, and cash.
. You must agree and keep to the terms of our
acceptable use policy
.
Name
Address
Address
City
Zip/Post Code
Country
Current Email Address
Must be a valid email address from an ISP.
Organization/Company (If any)
Desired
1st choice
Login
2nd choice
Name
3rd choice
Password
(Must be less than 8 charcters and contain at least 1 number)
Confirm Password
Phone
Fax
Package
Package 1 ($10.00) 10MB
Package 2 ($20.00) 20MB
Payment Option
Check
Money Order
Will be accepting credit card payments soon.
Please make out checks or money orders
PAYABLE TO
: T. LAND
MAIL TO:
11428 Monterrey Dr.
Wheaton, MD. 20902
Special Details (Not Required). Please tell us where you originally found our site if you remember.
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