GTW.NET | Services

To sign up for internet access through GTW.NET, please complete and submit the form below. Fields marked with a red asterisk (*) are required. One of our technical support engineers will respond to you within 48 hours to arrange your billing information. Thank you for choosing GTW.NET.

Currently, GTW.NET can only provide Dial-Up Internet Solutions in the Saint Louis Metropolitan Area. Please check back with us as we are continually expanding our supported area.

Fields marked with red asterisk (*) are required.

Contact Information

*Name:
Organization (if applicable):
* Day Phone:	(xxx-xxx-xxxx)
*Evening Phone:	(xxx-xxx-xxxx)
Fax:	(xxx-xxx-xxxx)
FIN/Social Security #:
Date of Birth:

Address

* Street Address:
* City:
State:	Missouri
* Zip Code:

Services Requested

56k Modem Access (Monthly)	56k Modem Access (Yearly)
$14.95 Initialization	No Initialization
$14.95 Monthly	$179.40 Yearly

112k Dual Modem Access*	64k Dynamic ISDN**
$14.95 Initialization	$14.95 Initialization***
$34.95 Monthly	$14.95 Monthly

128k Dynamic ISDN**	64k Dedicated ISDN**
$14.95 Initialization***	$199.95 Initialization***
$34.95 Monthly	$124.95 Monthly

128k Dedicated ISDN**	Additional Email Account
$199.95 Initialization***	$4.95 Monthly
$249.95 Monthly
* Requires 2 modems & multilink PPP software Requires an ISDN modem/router & telco services * Initialization varies based on length of contract

IP Assignment

	Dynamically Assigned IP No Charge - (Recommended)
	Static IP $4.95 Monthly
	I Require a Block of IP's Will require the completion of the Local Area Network Solution Application

Dial-Up Account Information

Main Dial-Up UserID & Password

UserID's & Passwords must contain between 3-8 characters all in lower case letters	*1st choice	@gtw.net
	*2nd choice	@gtw.net
	*Password	Password must contain at least one number

Free Extra Email #1

UserID's & Passwords must contain between 3-8 characters all in lower case letters	1st choice	@gtw.net
	2nd choice	@gtw.net
	Password	Password must contain at least one number

Free Extra Email #2

UserID's & Passwords must contain between 3-8 characters all in lower case letters	1st choice	@gtw.net
	2nd choice	@gtw.net
	Password	Password must contain at least one number

Free Extra Email #3

UserID's & Passwords must contain between 3-8 characters all in lower case letters	1st choice	@gtw.net
	2nd choice	@gtw.net
	Password	Password must contain at least one number

Free Extra Email #4

UserID's & Passwords must contain between 3-8 characters all in lower case letters	1st choice	@gtw.net
	2nd choice	@gtw.net
	Password	Password must contain at least one number

GTW.NET 1266 Andes Boulevard St. Louis, MO 63132 314.997.0300 Fax: 314.997.1802 sales@gtw.net