%@ Language=JScript%><% Response.Buffer = false; %>
Sign up for NCCampus.net services
* Indicates a required field
* First Name
MI
* Last Name
* Social Security No
(numbers only, no dashes)
Service Address
* Property
* Apartment
* Bed
(A, B or C)
Lease Start
(format MM/DD/YY)
Lease End
Billing Address (if different)
Billing Address 1
Billing Address 2
Billing City
Billing State
AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Billing Zip
Contact details
* Email
Cell Number
(numbers only, no dashes etc)
Permanent phone #
Services Ordered
Long Distance
at 5.9 cents a minute
Voicemail
at $5.00 per month
Call Waiting
at $2.00 per month
Call Forwarding
at $3.00 per month
Xtreme 5 Mbit Internet
at $24.95 per month, includes static IP
Final Order details
* Date service requested
Special instructions
* Confirmation
By clicking the ‘Submit’ button below I confirm that I have read and agree to comply with NCCampus.net’s Terms and Conditions and Acceptable Use Policy set out here.
NCCampus.net is Copyright © Campus Technologies Inc., 2005. All rights reserved