Edifax Internet Services Website Hosting, Dilaup Accounts, Domain Registration
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Local Dialup Accounts

Note: This form should be used only to register for an EDIFAX local dialup account in the Hampton Roads area of Virginia. Use our Nationwide Dialup Account otherwise.

Please read the Dial-Up Client Agreement and fill out the form completely. EDIFAX will contact you to confirm your request and provide dial-up instructions and assistance.

Also available is our special Nationwide Dialup Account. Give us a call at (757) 484 1400 if you would like more information on this option which allows you to access your account from anywhere in the country.


Please choose the time period you want:
Monthly - $9.95 Quarterly - $28.95 Semi-Annual - $56.95 Annual - $112.95



Next, choose a Username and Password:
Your Username and Password are IMPORTANT! Your Email address will be in the form Username@edifax.com, so choose a name you like. Your Password must be from 5 to 12 characters long and contain only (case sensitive) letters and numbers.
Username
Password


Next, fill in your personal information:
First Name
Last Name
Company
(Optional)
Street Address
City
State
Zip
Country
Telephone
Notes  (Optional)


Last, fill in payment information:
(Monthly accounts must be paid by credit card)
Credit Card    Check    Money Order
If Credit Card, Enter Info Here:
Visa    Master Card American Express Discover
Exact Name on Credit Card
Credit Card Number
Expiration Date (month/year)

By submitting this form, I acknowlege that I have read and agree to the standard Dial-Up Client Agreement


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