Name:
Company:
Billing Address:
City:
Postal Code:
Telephone (Home):
Telephone (Work):
Account Security Keyword:

User ID & Password

User ID:
(All lowercase. You can use a period but no spaces. Your email address will be your user ID followed by @bmts.co m, e.g. your.name@bmts.com.)
Password:
Password (to verify):
(Use any combination of letters, numbers, upper and lowercase. Please consider this password temporary...you should change it once your account is activated.)

Service Options

(See Dial-up for details of service options.)

Intro Access - 10 hours per month - $8.95

	Basic Access - 150 hours per month - $19.95
	Flex Access - 744 hours per month - $24.95
	Unlimited Access - $22.95

Invoice Delivery

(Select how you would like to receive your bill.)

	Email Invoice
	Regular Post Mailed Bill

Payment Preference

	Preauthorized Payment
	Credit Card
	Other

Tell me more about Bruce Telecom Long DistanceYes

Tell me more about Turbo Dial-upYes

Tell me more about Parental ControlYes