ATG  ATech Group, Inc.  P. O. Box 68 Story City, IA 50248  ( 515 ) 733 - 5289

StoryCity.net Internet Access Activation Application

This is an application and activation form to provide modem dial-up access to the Internet point of presence StoryCity.net. The applicant will receive access to the Internet from ATech Group's modem pool located in Story City, Iowa. Account information will be returned to you within  5 business days after ATech Group receives your form and payment. Same day activation is also available when you call ATG.

Account activation information:

First Name: ____________________ Last Name: __________________________

Business: __________________________________________________________

Address: ___________________________________________________________

Address2: __________________________________________________________

City: ___________________________ State: _______ Zip: _________________

Phone: _________________________ Fax: ______________________________

Please fill in the following information for your account ID

User name: ( Minimum 3 characters, first character must be a letter only letters and numbers are valid ).

Choice #1__________________ Choice #2__________________ Password_______________

Note: passwords are case sensitive. IE. "PASSWORD" is not the same as "password".

The maximum number of characters in the password is 8 and the password must be typed the same way every time.

Additional Mail-ID's on same account

Note: $5.00 per month charge per additional Mail-ID. List user names below.

____________/____________ _____________/_____________ __________/____________

Mail ID Password Mail ID Password Mail ID Password

Computing Platform:

Windows 95 Windows 98/me Windows NT/2K Macintosh

Payment Information:
 

Payment Plan Choice One time activation fee  Add E-mail ID @ $5 ea. Subtotal initial payment 
__________ + _____________ +  _______________ = ____________ 

Total payment ____________

Please make checks payable to: ATech Group, Inc. StoryCity.net Internet service provider

I, hereafter known as the Subscriber, agree to the terms and conditions listed on this service agreement.

_________________________ _____________________ __________________________

(subscriber signature) ( date) ( please type or print your name)
 

ATGATech Group, Inc.  P. O. Box 68 Story City, IA 50248 ( 515 ) 733 - 5289

Available payment plans for Internet access service.
 

Plan Code

Rate 

Access Type 

Personal 
www page access 

Activation fee 

Payment Cycle 

U1

$20.00 

24 hr. 

Yes 

$0

Monthly $ 20.00 every mo. 
U2

$19.00

24 Hr. 

Yes 

$0

Quarterly $57.00 every 3 mo. 
U3

$18.00 

24 hr. 

Yes 

$0 

Bi-yearly $108.00 every 6 mo. 
U4

$17.00

24 hr 

Yes 

$0 

Yearly $204.00 every 12 mo. 
           
E1

$0.00 

Additional E-mail address     Monthly E-mail charge
S1

$20 

Support      Annual Telephone Support Contract
B1

$85/mo 

DSL 

no 

$0 

Business dedicated line 
           

StoryCity.net Internet access terms and conditions:

The Subscriber is authorized to use the modem dial-in access to the StoryCity.net Internet point of presence ( the "Services") from the designated phone number on the form. The Subscriber is solely responsible for the content of any transmissions using the Services, or any other use of the Services, by the Subscriber of by any person or entity Subscriber permits to access the Services ( a "User"). Subscriber agrees that it and any User will not use the Services for illegal purposes, or to interfere with or disrupt other network users, network services or network equipment. Violations of the foregoing by Subscriber or any User may result in removal of violative communications and early termination of the Services. Disruptions include, but are not limited to, distribution of unsolicited advertising of chain letters, propagation of computer worms and viruses, and using the network to make unauthorized entry to any other machine accessible via the network. Subscriber shall defend, indemnify, and hold harmless ATech Group, Inc. from and against all liabilities and costs ( including reasonable attorneys' fees) arising from any and all claims by any person based upon the content of any transmissions by Subscriber or any User using the Services or any other use of the Services by Subscriber or any User.


DISCLAIMER
ATech Group makes no representations or warranties with respect to this service, and specifically disclaims any express or implied warranties of merchantability, title, or fitness for a particular purpose.
ATech Group will not be responsible for any data loss that might result from implementing this service. ATech Group strongly recommends a backup be made before installing this service on your personal computer.