BlockNews.Net / UseNetNow.Net Postal Payment Form
Please fill out the following information and send to the address at the bottom of the form.
First Name:____________________________________________________________________
Last name:_____________________________________________________________________
E-Mail Address Where Login & Service Details Should Be Sent:_____________________________________________
Desired Username (Up To 10 Characters): First Choice_________________________Second Choice________________
Desired Password (Can Be Changed After Account Creation):________________________________________________
Account Type Desired (See Note):_______________________________________________________________________
Total Payment Amount (See Note!) $_____________________________________________________________________
**Note Regarding Account Types: For Block accounts, the account type must be equal to or greater than $10.00. For unlimited accounts, you must pre-pay for at least 2 months.
**Note Regarding Payment & Currency: We ONLY accept payment in the form of US currency! Most foreign banks allow checks or money orders to be written in US dollars. Allowed forms of payment with this method are certified check and money orders (US Dollars). Checks and money orders MAY be held up to 2 weeks (14 days) for clearing. You may also send cash. Although we have never had a problem receiving cash payments, your cash payment is sent at your own risk.
By Signing Below You Certify That You Have Read & Agree To The BlockNews.Net / UseNetNow.Net Terms Of Service and Privacy Policy, Both Of Which Are Located On The Respective Websites.
Signed:_____________________________________________Date:________________________________________________________________________
Mail This Completed Form & Payment Made Out To:
Blocknews
c/o B. Simpson
PO Box 824
Alfred, Maine USA 04002