Order Form for a Standard National Dial Account
Order Form for a Standard National Dial Account
Your Details
Your Name
__________________________ Your Address
_______________________ Day time phone number
______________________ Evening phone number
______________________ Your Choice of Internet
Email Name (up to 8 characters, alpha/numeric)
Monthly Payment of
£12.00 inc. Quarterly payment of
£30.00 inc. Annual payment of
£100.00 inc. Cheque Credit card:- number :-
……………………………
expiry date
…………………… 
Visa ___ Mastercard ___ Eurocard___ Please enclose a cheque made payable to ARUNET for your first installment as chosen above. I understand that I am responsible for the security of my Internet password, data and messages that I send and retrieve through the service provided by Arunet.
Signed …………………………… date …………………….
The prices shown here are current as of the 12th December 1998
PO Box 2001
Pulborough
West Sussex
RH20 1FB
Tel & Fax 01798 831122