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NCCampus Chrome web30

 

 

 

 

 

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

 (format MM/DD/YY)

Billing Address (if different)

Billing Address 1

Billing Address 2

Billing City

Billing State

Billing Zip

Contact details

* Email

Cell Number

 (numbers only, no dashes etc)

Permanent phone #

 (numbers only, no dashes etc)

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

 (format MM/DD/YY)

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.

 

 

 

 

 

 

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