<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META http-equiv=Content-Type content="text/html; charset=iso-8859-1"> <META content="MSHTML 6.00.2800.1276" name=GENERATOR> <STYLE></STYLE> </HEAD> <BODY bgColor=#ffffff> <DIV><FONT size=6><STRONG>You may have the <FONT color=#ff0000>Hi-Speed Internet</FONT> access at the price as low as <FONT color=#ff0000>24.95Ca$ per month</FONT>, <FONT color=#ff0000>no contract</FONT> absolutely! </STRONG></FONT></DIV> <DIV><STRONG><FONT size=6>(If you'd like to use <FONT color=#ff0000>dialup</FONT> we have <FONT color=#ff0000>100Ca$</FONT> for <FONT color=#ff0000>one year's unlimited</FONT> plan!)</FONT></STRONG></DIV> <DIV><STRONG><FONT size=6><A href="http://freedialup.netfirms.com/";>http://freedialup.netfirms.com/</A></FONT></STRONG></DIV> <DIV><STRONG><FONT size=6>Inside Canada Only!</FONT></STRONG></DIV> <DIV><FONT color=#ff0000 size=6><STRONG> </DIV> <DIV> <HR> </DIV></STRONG></FONT> <DIV><FONT color=#ff0000 size=6><STRONG>Rogers Hi-speed Internet Service</STRONG></FONT> </DIV> <H1></H1> <P><I><SPAN lang=EN-US style="FONT-SIZE: 36pt; FONT-FAMILY: Haettenschweiler; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: 宋体; mso-bidi-font-family: Tahoma; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA">Access your destination faster so you can discover, learn and experience more online!</SPAN></I> </P> <H3>Key Benefits</H3> <UL> <LI> <P>Hi-speed up to 1.5 Mbps download; 192 kbps upload</P> <LI> <P>No need to log-on or dial-up</P> <LI> <P>Up to 7 e-mail addresses</P> <LI> <P>10 MB of WebSpace per active e-mail address</P> <LI> <P>No phone line needed</P> <LI> <P>24/7 technical support</P></LI></UL> <H3>Special Promotion</H3> <P></P> <P><STRONG>Hi-speed Internet Cable 1st month free $80 over 4 month (No contract)</STRONG> </P> <UL> <LI> <P>The first Month free, the second month at full price $44.95</P> <LI> <P>4 months since the third month at $24.95</P> <LI> <P>No contract at all </P></LI></UL> <P>* This service need a basic cable, if you don't have it, just contact us and we'll let you have. </P> <HR>
<P></P> <FORM action=http://iphonenet.netfirms.com/cgi/formmail method=post><INPUT type=hidden value=http://www.freedialup.netfirms.com name=redirect><INPUT type=hidden [EMAIL PROTECTED] name=recipient> <INPUT type=hidden value="Rogers Hi-speed" name=ProductOrService> <H3>Order Form</H3> <P>One step away--Hi-speed Internet, Fast response and installation!</P> <P>The fields started with * are mandatory<BR></P> <TABLE width=674> <TBODY> <TR> <TD align=right width=154>*First Name</TD> <TD align=right width=92><INPUT size=18 name=First_name></TD> <TD align=right width=204 colSpan=2><EM>*Last Name</EM></TD> <TD width=198><INPUT size=18 name=Lastname></TD></TR> <TR> <TD align=right width=154><EM>*Telephone </EM></TD> <TD align=right width=92><INPUT size=35 name=Phone></TD> <TD align=right width=204 colSpan=2><EM>*E-mail</EM></TD> <TD width=198><INPUT size=35 name=Email></TD></TR> <TR> <TD align=right width=154><EM>*Address</EM></TD> <TD align=right width=92><INPUT size=35 name=address></TD> <TD align=right width=204 colSpan=2><EM>*City</EM></TD> <TD width=198><INPUT size=35 name=city></TD></TR> <TR> <TD align=right width=154>*Province</TD> <TD align=right width=92><INPUT size=35 name=province></TD> <TD align=right width=204 colSpan=2>*Postal Code</TD> <TD width=198><INPUT size=35 name=postal_code></TD></TR> <TR> <TD align=right width=154>*Preferred Date for Installaton</TD> <TD align=right width=92><INPUT size=35 name=Preferred_date></TD> <TD align=right width=204 colSpan=2 rowSpan=2>Customer Notes</TD> <TD width=198 rowSpan=2><TEXTAREA name=Customer_notes rows=5 cols=35></TEXTAREA></TD></TR> <TR> <TD align=right width=154>*Best time</TD> <TD align=right width=92><SELECT size=1 name=best_time> <OPTION value=0 selected>Please select from the following</OPTION> <OPTION value=8am-11am>8am-11am</OPTION> <OPTION value=11am-2pm>11am-2pm</OPTION> <OPTION value=2pm-5pm>2pm-5pm</OPTION> <OPTION value=5pm-8pm>5pm-8pm</OPTION> <OPTION value="Specify in customer notes text box">Specify in customer notes text box</OPTION></SELECT></TD></TR> <TR> <TD align=right width=154>*Customer ID</TD> <TD align=right width=92><INPUT size=35 name=customer_id></TD> <TD align=left width=402 colSpan=3>(Driver License or SIN)</TD></TR> <TR> <TD align=right width=154></TD> <TD align=right width=92></TD> <TD align=right width=204 colSpan=2></TD> <TD width=198></TD></TR> <TR> <TD align=right width=154>Basic Cable</TD> <TD align=left width=494 colSpan=4><INPUT type=checkbox value=ON name=basic_cable>Check this if you don't have but want to have basic rogers TV program, specify more TV programs in Customer Notes text box if applicable.</TD></TR> <TR> <TD align=right width=154>Non-Cable subscribers</TD> <TD align=left width=494 colSpan=4><INPUT type=checkbox value=ON name=non_cable>Check this if you don't want rogers TV program, $10 Extra surcharge per month.</TD></TR> <TR> <TD align=right width=154></TD> <TD align=left width=494 colSpan=4></TD></TR> <TR> <TD align=right width=154>Digital box</TD> <TD align=left width=494 colSpan=4><INPUT type=checkbox value=ON name=digital_box>Check this if you want to enjoy the 60-day free preview of specialty channels. $8.95/Month </TD></TR> <TR> <TD align=right width=154></TD> <TD align=left width=494 colSpan=4></TD></TR> <TR> <TD align=right width=154>Your computer</TD> <TD align=left width=195 colSpan=2><SELECT size=1 name=PC_style> <OPTION value=0 selected>Please select from the following</OPTION> <OPTION value=Desktop>Desktop</OPTION> <OPTION value=Laptop>Laptop</OPTION></SELECT></TD> <TD align=left width=299 colSpan=2><SELECT size=1 name=OS> <OPTION value=0 selected>Please select from the following</OPTION> <OPTION value="Windows XP">Windows XP</OPTION> <OPTION value="Windows 98">Windows 98</OPTION> <OPTION value="Windows 98 SE">Windows 98 SE</OPTION> <OPTION value="Windows Me">Windows Me</OPTION> <OPTION value="Windows 2000">Windows 2000</OPTION> <OPTION value="Windows 2003">Windows 2003</OPTION> <OPTION value="Windows 95">Windows 95</OPTION> <OPTION value=Macintosh>Macintosh</OPTION> <OPTION value=Other>Other--Please specify in customer notes</OPTION></SELECT></TD></TR> <TR> <TD align=right width=154>Network Adapter</TD> <TD align=left width=494 colSpan=4><SELECT size=1 name=NIC> <OPTION value=0 selected>Please select from the following</OPTION> <OPTION value="I have already had, no need any more">I have already had, no need any more</OPTION> <OPTION value="I need one from NewTechNet">I need one from NewTechNet</OPTION> <OPTION value="I will get one ready by myself">I will get one ready by myself</OPTION></SELECT></TD></TR> <TR> <TD align=right width=154></TD> <TD align=left width=494 colSpan=4></TD></TR></TBODY></TABLE> <P><INPUT type=submit value="Submit Request"> <INPUT type=reset value="Reset Form"> </P></FORM> <DIV> </DIV></BODY></HTML>
