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ISPArchives.com Members Registration Form

Welcome to the ISPArchives.com new ISP signup form. ISPArchives.com membership allows Internet
Service Providers to post their information on our search engine. All membership request are reviewed
and confirmed before approval. All services offered from this section are FREE of CHARGE.

IMPORTANT: All Fields marked in RED are private and will not be displayed to the customers.
ISPArchives.com uses this information for account management.


Contact Information (PRIVATE)
Contact Name
(REQUIRED)
Contact Phone Number
(REQUIRED)

Format as ###-###-####
Ext.
Contact Email Address
(REQUIRED)
Fax Number
Company Name
(REQUIRED)
MAX 50
WebSite Address
(REQUIRED)
www.yourURL.com - exclude http://
Company Description
(REQUIRED)
MAX 750
Toll Free Number

Format as ###-###-####
Ext.
Local Phone Number

Format as ###-###-####
Ext.
Email Address (Support)
Address Line 1
Address Line 2
City
Sate
Zip Code  
Support Hours
24/7 Weekdays  Weekends
 NA if same as week days.
  OpenTime OpenTime
  CloseTime CloseTime
Available Company Services
(Check all that apply)
Dial-Up
DSL
Cable
T1
Wireless
Satellite
Webhosting
Co-Location
Dedicated Host
Web Design
Accepted Payment Types
(Check all that apply)
VISA
MasterCard
Discover
American Express
Check by Mail
E-Check
Notes
MAX 750