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New Users - Sign Up for Nationwide's Dialup Internet Today!

(This form is for New Users who wish to sign up for dialup internet service in southeast Florida (Palm Beach to the Keys). If you are interested in DSL or other services, email us for pricing and availability. For current customers, to pay your bill or upgrade your service use the Pay Your Bill link)

If you pay by credit or debit card, you can sign up with us today! Just complete the below information and click the Submit button. We'll set you up as soon as we get it during normal business hours. If you want to pay by check or cash, visit one of our local offices or print this application and mail it with your check or M.O. (no cash by mail please!). See locations for our mailing address and local office information.

See Setup Instructions to get connected once you've signed up, or call us at (954) 327-2111, (888) NET-NERD (888-638-6373) and we'll help you!

 

Your Name:
Phone:
Email Address (if you have one!):

(Your confirmation email will be sent here.)
Address:
City:
State:
Country (if outside U.S.)
Zip Code:


You'll need a username and password to get online. Your email address will also be username@domain.com, so choose it wisely - no spaces please! And pick a password that's not easy to guess.

Username:
Email Domain:
Password:
   


Please select your Internet Access Plan:



I hearby authorize Nationwide Computer Systems to charge the amount shown above to the card/account specified below:


Please select ONE of the following Payment Types:

Credit or Debit Card (please complete section below)
Credit or Debit Card #:
Exp. Date:
Month Year
Card Type:
CVV Code: (required for all credit cards)
(CVV Code is a 3-4 digit code on the back of your card. Click here if you need help locating it)


Pay by Check (payable to Nationwide Computer Systems)
If paying by check, please print this form and mail it with your payment to:
Nationwide Computer Systems
P.O. Box 551149
Davie, FL 33355

 

  
 
 
 

 

Email Us! info@nationwideinc.com
(954) 327-2111 * (888) NET-NERD Nationwide Computer Systems, PO Box 551149, Davie, FL 33355
See Locations for local contacts