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Zipcon Credit Card Entry Form

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This form is for a one-time only payment. Once your account comes due again, you will be asked to make payment again.
If you would like to set up automatic payment each billing period, please go to secure.zipcon.net/auto.html.

Your Zipcon account login name
Type of account	Quarterly Dial-up or DSL($54.95) Monthly Dial-up or Qwest/Verizon DSL ($19.95) Monthly Qwest "Select" DSL (Megabit Select only) ($17.95) Quarterly Qwest "Select" DSL (Megabit Select only) ($53.85) OTHER - Enter the amount in the Comment section below Quarterly Hourly Dial-up/Email ($11.95) Monthly Hourly Dial-up/Email ($4.95) Business DSL Service ($69.95) Business Web Hosting ($24.95) Quarterly Business Web Hosting ($69.95) Business Web Hosting with dial-up or DSL ($44.90) Quarterly Business Web Hosting with dial-up or DSL ($124.90) Quarterly Basic Hosting ($27.95) Quarterly Personal Hosting with dial-up or DSL account ($82.90) Monthly Personal Hosting with dial-up or DSL ($29.90) Custom $15.00 Custom $40.00 One Year Domain Registration ($12.00)
Comments - Please be sure to use the Other option just above if you enter a custom amount.
Exact name on the card
The billing address	Street City State Zipcode
Type of credit/debit card	Visa Mastercard
Your credit/debit card number
Expiration date	01 02 03 04 05 06 07 08 09 10 11 12 2014 2015 2016 2017 2018 2019 2020 2021 2022

 

You may also send payment via check or money order to:

Zipcon
PMB 122
6910 Roosevelt Way NE
Seattle, WA 98115


If you have questions, please email us.



The Zipcon home page.