If you would like to Register as a new subscriber or renew your existing membership, but don't want to do it on-line, simply print out this form from your browser and send it to us by mail.
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Registration/Renewal Form |
| Name: | ___________________________ | Address: | ___________________________ |
| City: | ___________________________ | Province: | ___________________________ |
| Postal Code: | ___________________________ | Phone #(s): | ___________________________ |
Outer-Net User-ID(s):______________________________________________
For new subscribers, please enter your preferred User-ID, it will be assigned to you if it is still available
| Membership Type | Cost | GST | Unit Cost | Qty | Amount |
| Monthly (Unlimited Access) | $24.95 | $1.50 | $26.45 | ||
| Total |
GST #: 898097258RT
Payment Methods
Payment can be made by, cheque, money order or pre-approved bank withdrawalFor VISA, MasterCard or American Express payments please provide the following:
| Account Number: | __________________________ |
| Expiry Date: | __________________________ |
| Name on the card: | __________________________ |
For cheque or money order please make payable to Outer-Net Technology
For Pre-Approved Payments click here.
| Mail this form to: | Outer-Net Technology |
| 1730 McPherson Crt. Unit #30 | |
| Pickering, Ontario | |
| L1W 3E6 |