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Just fill out this simple form.
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USE YOUR "TAB" KEY TO GET TO EACH FIELD. MOST FIELDS ARE REQUIRED.

Complete phone number:
Account Code: What is my Account Code?
Your name and address exactly as on your bill:
First name: Initial:
Last name:
Billling Address:
City:
State: Zip:

Shipping address if different than above:

Current email address:

Service plan requested:
DSL modem/router:
HIBEK services billing:

I need static/ registered/ public IP addresses at extra charge.

I'm in the Lewis-Clark Valley or Granveville and would like a HIBEK
technician to come on-site, install my DSL modem, and configure
my computers. $35.00/hr., minimun 1 hr.

Monthly and Every 3 Month billings require a credit or debit card.
(We accept VISA, MasterCard, and American Express.)
Card type:
Card number:   Exp:

Customer service 208-746-0804

Copyright 2004 HIBEK, Inc. All rights reserved.