327 Palisade St, Merrimac, WI 53561

877-493-9470

608-493-9470

Fax 608-493-9902

office@merr.com

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SUBSCRIBE TO MERR.COM DIAL-UP SERVICE

(For information on subscribing to Madison Downtown Wi-Fi service, click here or call 1-877-493-9470. Please do not use this form to subscribe to Wi-Fi service.)

 Complete and send the form below, and we will set up your internet account on the next business day and email, fax, or mail your setup instructions that same day by 5 p.m. If you have any questions, please call one of the numbers above. Use TAB or mouse click to move between boxes.

 

Last Name:

First Name:

Address:

City:

State:

Zip:

County:

Phone
(inc. area code): 

 

Fax
(inc. area code):

optional*

Current Email:

optional*

* If you have access to a fax machine or another email address, we can get your setup information to you faster.

Requested User/Email Name and Password

User/Email Name:

Password:

The USER/EMAIL NAME and PASSWORD must be between 6 and 12 characters. Use only lower case letters and/or numbers.

Your Computer's Operating System

Operating System: 

Examples: Windows Vista, Windows XP, Windows ME, Windows 98 1st or 2nd Edition, Windows 95, Windows 2000, Windows NT, MacIntosh 9.0, MacIntosh 10.0

Choose the location you will dial into locally from the following list:
 Check this site to confirm your choice: http://www.merr.com/prefixes.asp

Where did you hear about us?

How would you like to pay your bill?

If you would like to pay with a credit card, we will call you for your MasterCard, Visa, American Express or Discover card number.

If you would like us to debit your checking or savings account monthly, we will mail you the necessary form.

If you would like us to email your bill, we will send it to your merr.com email account unless you specify an alternate email address in the comment field below.

Would you like to add merr.com's Slipstream Web Accelerator?
 Boost your Internet speed by up to 7x!
Check this site for more information: http://www.merr.com/accelerator.htm.

         

Would you like to add merr.com's Postini Spam Filter?
 Have complete control over your spam filtering!
Check this site for more information: http://www.merr.com/spam_blocking.htm.

         

 

Type any comments or special instructions here:

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