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2. I am 18 years of age or older. Yes

3. Please enter the name of the person completing this application if different from the applicant's name below:

4. User Information

Please enter the information for the person who will use and be responsible for the Account.

First Name:
Middle Initial:
Last Name:
Home Telephone Number, with area code:
Work Telephone Number, with area code:	Extension:
Employer or School Name:
Home Address 1:
Home Address 2:
City:
State/Province:	Zip:

5. Mailboxes

Please enter a Mailbox ID for the Account Administrator's e-mailbox. This Mailbox ID (the unique account name that identifies your account at RPA) can be from 3 to 10 characters in length, with no spaces or punctuation marks. It must be all lower case.

The Mailbox ID you choose will be the first part of your e-mail address on the Internet.

example: mailbox@rpa.net

Mailbox ID: @rpa.net

Only the Account Administrator may request changes, additions, and deletions to the Account. Changes to the Account can be made via RPA's Account Management Center.

6. Payment Information

7. Account Security Information

Please enter the last four digits of your Social Security number below. This will identify you as the Account Administrator. You will be asked for this number when you request to have significant changes made to your account.

Account Security Passphrase

8. Full Membership Dial-Up Access Plan

• Yearly Prepayment Discounts are available for all dialup plans. This option can save you 10-15% off normal prices.
• Special Discounts are available for Educators, Senior Citizens, Non Profits, and friends of existing RPA customers who are referred to RPA!
• 10 Day No-Risk Money Back Guarantee.

RPA's Full Dial-up Plan Includes:

• FREE CD-ROM w/ Internet Explorer and Netscape Navigator software. Works with Windows 95/98/NT/2000/ME/XP.
• Access your email from any computer at http://www.webmail.rpa.net
• LIVE technical support seven days a week, 8am to 8pm Mon - Fri, and 10am - 6pm Sat and Sun.
• Online customer care center available 24 hours per day, 7 days per week.
• Dial-up Support for FAST 56Kbs modems (All v.90 digital modems.)
• Free MultiLink modem bonding for speeds up to 112Kbps!
• WebTV compatibility.
• Compatible with AOL.
• DirecPC high-speed satellite service compatibility.
• You can still use AOL Instant Messenger software.
• Unlimited e-mail accounts for you and your family!
• Twenty (20) MB of disk space for your e-mail and web pages.
• SPAM filters and SPAM control center so that you can control the amount of junk e-mail you receive.
• Online educational center and training programs to teach you how to use the Internet more effectively.
• Access to thousands of newsgroups and mailing lists.
• Outbound Telnet and FTP capability.
• RPA was rated #1 ISP for Customer Service and Technical Support by C/Net online Magazine.
• Email-only accounts available!

If you qualify for a Special Discount or Teacher Account, please be certain that you have provided your Employer or School Name in Section 4 above.

9. Computer Information

Please choose the operating system you use on your computer. If you do not know the answer please select "I don't know."

Operating System: Windows 95 Windows 98 Windows NT WindowsME Windows 2000 Workstation Windows 2000 Server WindowsXP MacOS 7.x MacOS 8.x Mac OS 9.x Mac OS X UNIX Other I don't know

10. Select Activation Date

All new accounts are activated immediately unless noted below.

11. Please Tell Us Who Referred You (required for Referral Plan)