Skerja.net Internet Driver's LicenseSM (IDLSM) Registration Form

For individual access to the systems thinking library and internet/technology coaching services complete the fields below. The web design and hosting template is a downloadable zipped spreadsheet. It's easy to complete. While this form is not secure, it is processed on secure servers. Once you hit "register" it will activate the security feature and complete your registration securely. With our IDLsm skill-scaled help, y.o.u.r. abilities set the pace. Our pledge to you is to answer your questions without the nerdy arrogance you've come to expect from techies.

We're happy to have you as a customer, and we want you to be happy too! Per our terms of service, New Accounts must be paid in advance for the term chosen within 15 days or may be deactivated and purged. Contact Us with any questions. 
Tab between fields, an * indicates a required field
First Name *
Last Name/Surname *
Company Name

Address 1 *
Address 2
City *
     		Zip/Postal Code *
 
Highlight & enter directly or choose from the drop down menus below:
Province/State  Country * 
US States or territories*

Canadian Provinces 

*The Nations of Micronesia [FM], Marshall Islands [MH], and Palau [PW] have their mail handled by the US Postal Service under a Free Association Agreement as former Trust Territories. 
Work Phone *
2nd Phone * (Home, Cell, pager, etc)
Fax
I was referred by 
Please select your technology skill level: 
Novice, this computer stuff is tough for me.
Beginner, I don't really know much about this stuff, but I'm eager to learn.
Intermediate, I know my way around, yet I'd like to get more out of the stuff I've already bought.
Experienced, I consider myself capable, and want to polish my abilities.
Expert, Bill takes lessons from both Linus & Me…

The surfer name you choose will be your Skerja.net login name and your Internet e-mail address, surfer@skerja.net. It should be no more than 15 letters and/or numbers, excluding ( ) ' < ? / \ { } [ ] | > : ; ~ ` ! # $ % ^ & * + = " + ' " ', and must NOT be made up entirely of numbers.

Many people choose a combination of their initials & name. For example, John Allen Smith's surfer name might be johns, jsmith, jasmith, jallen, jas, etc. For passwords, it's a good idea to mix letters and numbers, such as ap3plep5ie. If you leave the password field blank, the system will assign one to you, which you can change on-line later. 
First Choice Surfer Name:
   
Second Choice Surfer Name:
  
Third Choice Surfer Name:
  
Password:
Verification Question: (Your hint can be up to 80 characters) 
Verification Answer: (Your hint response can be up to 32 characters)
 
Promotion Code: (from promo material, if any)
 
Enter your initials to indicate your acceptance of Skerja.net's Terms of Service. 
Service Plan: 
Payment Plan:
(prices shown for Standard Access, Business plan has upgraded coaching, ipass roaming options and free domain registration for two-year sign-up. Contact us for more info if interested.)
Make cheque or money order payable to:
“Rock Eel Café” and mail your payment within 10 days of sign-up to:
Skerja.net Neighborhood Internet
142 Red Fox LN
Bastrop TX 78602-3192 

Our unique neighborhood basis means that if we can't trust your cheque, we probably don't want you as a customer. [If you don't have a banking relationship, call us, we can recommend someone through our growing community bank network, bank-faq.com, launching on the web soon!] An ambitious goal we aim to meet is that one or more of our Neighborhood Technology Coaches will know each member of the Skerja.net “family” personally. Just from that statement alone, you can readily tell this technology experience will likely surpass any you've had to date…

Invoice Notify:

Statement Notify:
Annual Plan is Best Value! Save $60, like getting 3 months free compared with monthly billing! 
Bill Cycle Unit Cost Total Cost
Every Month  $22.95 $275.40
Every 2 Months  $21.95 $263.40
Every 3 Months  $20.95 $251.40
Every 4 Months  $19.95 $239.40
Every 6 Months  $18.95 $227.40
Every 12 Months  $17.95 $215.40
Pick Your Billing Cycle: 
If you select to be billed by paper invoice, please note that there is a monthly invoice processing fee.
Early cancellation of term plans will result in a cancellation fee and proration at Skerja.net's normal monthly rate.