Innovative PowerNet - Member Directory

Change Service

Account Information (Current balance must be paid before any changes can take place)
Account Name:		Account Number:
Login/Email Username:
Business Phone Number:		(Home/Other):
Change of Service:
Dial-Up Plan:
Standard/Employee# : 1 Month 3 Month 6 Month 12 Month
Hold:	PC Repair Vacation
Username		Password
Old : New: Old : New:
DSL Speed:	256K 512K 1024K
There is an $85.00 flat rate for each change in DSL connection speeds. All other DSL service changes/additions are provided at a charge of $85.00 per hour.
Port Forwarding (Port Redirection) Subnet Change Replacement Router/Modem
Please indicate details of configuration change requested (i.e. port on router to be configured, purpose for change, etc.)
Addition of Service
Please indicate which service you would like to add to your current plan.
I would like an additional MB of disk space @ $1.00/MB per mo.
I would like additional IP Addresses: 2 for $20/mo. 6 for $45/mo.
I would like a static IP Address (Res. DSL) 1 for $5/mo.
Please indicate purpose for which IP Addresses will be used. This information is needed for SWIP reporting:
Web Service
I would like to activate my Free 5MB of web space:
Name of Web Space directory:
1st Choice: 2nd Choice: 3rd Choice:
Your URL (website address) will read vipn.vipowernet.net/name of directory* Your current vipowernet username and password will be recognized.
Cancellation of Service
Please cancel this account as of (Cancelation effective at the end of the month)
Please state reason for cancellation:
I understand that I am responsible for full payment of any balance due as of the effective date of this request. A final statement will be mailed to me for the next billing cycle. Payment is due upon receipt.