Access the Internet with ZiD.Com - Order From

ZiD - Internet Access Order Form

We thank you for using our on line registration service. If you have questions, you
can always contact us by e-mail or phone to : (514) 342-4636 or 1-877-659-6505

Contact Information
(the fields which appear in blue * must be filled)

First Name:*		Last Name:*
Company:
Department:
Address:*		City:*
Province:*		Postal Code:*	-
Phone:*	() -	Ext.:
Work Phone:	() -	Ext.:
Fax:	() -	E-mail:

Personal Plans (residential)
(select the plan by clicking the appropriate circle)

Plan Type* 56,6 Kbps	Monthly Cost	Price**	Included in the price
Internet Express add-on service		$5.00	1 E-mail
56K dial-up Internet access Unlimited (Promo)		$8.99	1 E-mail
56K Dial-up Internet access -15 Hour Plan		$9.95	1 E-mail
56K Dial-up Internet access -40 Hour Plan		$12.95	1 E-mail
56K dial-up Express Internet access Unlimited (Promo)		$13.99	1 E-mail
56K Dial-up Internet access -60 Hour Plan		$16.95	1 E-mail
56K dial-up Internet access Unlimited		$19.99	1 E-mail
56K dial-up Internet access Unlimited (3 month)	$20.00	$60.00	1 E-mail
56K dial-up Internet access Unlimited (Annual - Promo )	$8.33	$99.99	1 E-mail
56K dial-up Internet access Unlimited (6 month)	$18.33	$110.00	1 E-mail
56K dial-up Express Internet access Unlimited (Annual - Promo )	$12.83	$154.00	1 E-mail
56K dial-up Internet access Unlimited (Annual)	$16.67	$200.00	1 E-mail


Based on an intermittent dialup connections and non-simultaneous connections. Each account of user should be used only for one connection to Internet.
	^** Paid in advance, by credit card or cash.

High Speed DSL Plans

	DSL Plan	Monthly Access	Line Activation	E-mail Accounts
	Residential 5 Mb DSL Internet access- unlimited traffic with modem rental	$29.95	$25.00	8
	Residential 5 Mb DSL Internet access- unlimited traffic (no modem)	$29.95	$25.00	8
	Residential DSL 5MB & Modem Rental & Dry DSL loop	$39.95	$35.00	8
	Residential 5 Mb DSL Internet access with Dry DSL- unlimited traffic (no modem)	$39.95	$35.00	8
Intermediate DSL
	Residential 288K Intermediate DSL Internet access- unlimited traffic (no modem)	$26.95	$25.00	8
	Residential 288K Intermediate DSL Internet access- unlimited traffic (with modem)	$26.95	$25.00	8
Super DSL
	Residential 24Mbps/1mb ADSL2+ DSL Unlimited with modem	$38.95	$25.00	8
	Residential 24Mbps/3mb ADSL2+ DSL Unlimited with modem	$48.95	$25.00	8

PASSWORD
(min. 5 / max. 12 caractères)

Please choose a password for your account

Password

Password Confirmation

Requested E-mail:(ex:yourname@zid.com) @ZiD.com

Payment type
(Please Note: No account will be activated before to have received the payment or an
authorization of credit)

Payment type:

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