First Name Last Name
Address City
State Zip Code
Phone 1 Phone 2*
If you are under the age of 18 you will need to come into our office with a parent or gaurdian to have the sign a hard copy form.
*optional, a second phone number is not required.
Please select the type of subcription that you prefer:
Monthly
$19.95
  
Semi-annual
$85.00
  
Annual
$159.00
  

Logins: Your login serves as your connection to the internet. Please give us your main username and a second username, if your wish. You may use letters or numbers or both. All letters must be lower case. No spaces, underscores, or special characters – just small letters and / or numbers. Must be at least 4 characters but no more the 16. To maintain system security, Monkey Worx /Cube will assign you a password for each username.
       
User Name 1: @monkeyworx.com Password 1:
User Name 2: @monkeyworx.com Password 2:
Does your PC have a CD-ROM?
Yes No
Please tell us the type of operating system you are using:
Windows 95/98 Macintosh
Windows ME Linux
Windows 200    
Windows XP Other


Please make payments out and send to:
Cube Communications, Inc.
722 SE 1 Ave
Ontario, OR. 97914

If you have any questions pertaining to Dial-Up Internet Access, please call us at: 889-2003.

       

©2005 CUBE Communications and Consulting, Inc. all rights reserved.