Application for Internet Service

Online Application for Internet Service

Customer Information	Your Full Name: Title: Organization:(where applicable) Physical Address: Mailing Address:(if different) City: State: Zip Code: Home Number: Work Number: Are you a Mescalero Apache Tribal Member YES NO
Conputer Information	PC Operating System: Windows 95/98 Windows ME Windows XP Windows 2000 Other (please specify)
User ID	Your User ID must start with a letter and contain at least three and no more than eight characters. NO punctuation, NO spaces and use lower case. This will be YOUR idendity and should be chosen carefully. Common USER IDs may already be taken.
	First Choice: Second Choice:
PASSWORD	This is kept confidential and is only to activate your account and to refer back to in case you have trouble. Passwords should contain at least three and no more that eight characters. NO punctuation, NO spaces and use lower case. You will be asked for your password when you sign up at the MATI office.
For your convenience, your internet fee can appear on your monthly telephone bill. Would you like the internet fee to appear on your MATI telephone bill? YES NO
NOTE:This is just an online application. Upon approval of internet service, you will be contacted for more information.