Customer Order and Information Form

Recommended System Requirements:

Due to the fact that Microsoft and the other major software developers are not supporting or writing new software applications for Windows 3.11 and below, we do not recommend you use this OS and we do not support it any longer. We can put you on line with older software, however, we cannot promise you you will have optimal performance or be able to install and enjoy the latest Internet software. We recommend the following as minimum standards for use when accessing the Internet.

Windows Machines:
Windows 95/98
Pentium 100 or higher
16 megs of RAM or higher
30 megs of free space on your hard drive
CD Rom drive
28.8 modem or higher (56K V.90 recommended)
Linux Machines:
Red Hat Linux 5.2 or above
Pentium 100 or higher
16 megs of RAM or higher
30 megs of free space on your hard drive
CD ROM drive
28.8 modem or higher (56K V.90 recommended)

MAC OS:
OS 8 or above
24 megs of ram or above
30 megs free space on your hard drive
CD ROM drive

28.8 modem or higher (56K V.90 recommended)

This agreement is made between the CrossLink Internet Services, Inc., Eagles Nest, Ltd., Inc. and the individual or organization applying for Internet access service (subscriber). Whereas subscriber wants to obtain access to the Internet through Eagles Nest, Ltd. and CrossLink Internet access service and Eagles Nest, Ltd. and CrossLink wish to provide such service, the following terms and conditions will be applicable. Use of the Service will be construed as an acceptance of the terms and conditions of this agreement.

For those subscribers who wish to utilize a credit card or preauthorized debit transaction as the method of payment, the parties agree as follows:

For all subscribers, the following terms and conditions apply:

Direct Debit Information (Note: all accounts will be debited on or about the last day of each month for the amount of recurring fee for the following month.) Please note that Direct Debit transactions may take up to 45 days to get setup. Therefore, you should make certain that you deduct the applicable amount of money from your account on or about the 28th of each month to insure that you have the correct amount of money in your account. A $35 processing fee will be applied to any delinquent accounts that are left unpaid. If left unpaid for a period of longer than 45 days, the account will be turned over to the collection agency for further action. Credit Card accounts will be debited on or about the 28th day of each month for the recurring amount. It is your responsibility to make sure you have the funds available in your card account to cover these charges.

I hereby apply for Eagles Nest/CrossLink Internet Services as indicated below. I agree to comply with Eagles Nest/CrossLink's Acceptable Use Guidelines of which I have reviewed a copy. If credit card information is provided herein, I hereby agree to credit card billing in accordance with the applicable terms and conditions. I further agree that if I chose to discontinue my service, there is a written notice required in order to do so. Said notice must be in writing to either Eagles Nest, Ltd. either by fax, U. S. Mail or by Email. Phone call requests for termination of an account will not be accepted for any reason. Notice of cancellation must be given in writing prior to the 20th day of the month to avoid billing for the next month. All charges to credit cards and direct billing transactions are made by us on or about the 28th of each month. It is the subscribers responsibility to make certain that funds are available at that time. I may modify the services ordered under provision of this agreement and change the billing and/or credit card information by providing appropriate written notice to Eagles Nest, Ltd.

If you wish to sign up with a faxed form, please click here to get a .pdf form to download. Then print it, fill it out and fax it to us at 757-222-1002

PDF Forms - If you do not have Adobe Acrobat Reader you can download it for free from

Customer Name:
Organization:
Street Address:
City, State, Zip:
Day Phone:
Evening Phone:
Fax:
Existing email address:
System Type:
POP site:
Account Type:
Requested login name:
Login and Password MUST be 3 to 8 charactors, all lower case letters, NO NUMBERS
Initial Password:
Account Category:
Cost/mo: (Annual gets 10% Discount)
Payment Frequency:
Setup Fee:
Payment Type:

Credit Card Payments:
Card Number:
Expiration Date:
Card Holder Name:

Debit Payments:
Routing Transit Number (RTN):
Debit Account Number (DAN):
Financial institution name:
Bank account name:

Any additional information or comments:
Please process my order for Internet access services as indicated above.
Name: