Rainbows.net

If submitting online, fill out the form below and click the submit button. You will be contacted by one of our representatives regarding payment type and particulars
If mailing or faxing, fill in the form, then print it. Mail filled out form and payment to:

Rainbows.net - New Account
2454 South Beretania St. Suite 203
Honolulu, HI. 96826

Name:
Phone:
Street Address:
City:
State: (Access may not be available in some areas)
Zipcode:
Requested Username: (Will also be used for your email address. Lower case only)	@rainbows.net
Password: (At least 9 alphanumeric characters)
Payment Type:	Check Credit Card
Credit Card Type: (Only if mailing or faxing)
Credit Card Number: (Only if mailing or faxing)	____________________________
Signature: (Only if mailing or faxing. Must be same as name on credit card)	____________________________
Account Plan:
General Per month: $19.95/mo ($20.78 Tax Included) Student Per month: $17.95/mo ($20.78 Tax Included) Pre-pay 3 months: $17.95/mo ($56.09 Tax Included) Pre-pay 6 months: $16.95/mo ($105.94 Tax Included) Pre-pay 12 months: $15.00/mo ($187.50 Tax Included) Per week: $15.00/wk. $8.00 setup. ($23.96 Tax Included)
Referred By:

By filling out and submitting the form above, I agree to all the terms and conditions of this contract.