If you would like to Register as a new subscriber or renew your existing membership, but don't want to do it on-line, simply print out this form from your browser and send it to us by mail.



Registration/Renewal Form


Name: ___________________________ Address: ___________________________
City: ___________________________ Province: ___________________________
Postal Code: ___________________________ Phone #(s): ___________________________


Outer-Net User-ID(s):______________________________________________
For new subscribers, please enter your preferred User-ID, it will be assigned to you if it is still available


Membership Type Cost GST Unit Cost Qty Amount
Monthly (Unlimited Access) $24.95 $1.50 $26.45
Total


GST #: 898097258RT

Payment Methods

Payment can be made by, cheque, money order or pre-approved bank withdrawal

For VISA, MasterCard or American Express payments please provide the following:
Account Number: __________________________
Expiry Date: __________________________
Name on the card: __________________________



For cheque or money order please make payable to Outer-Net Technology


For Pre-Approved Payments click here.


Mail this form to: Outer-Net Technology
1730 McPherson Crt. Unit #30
Pickering, Ontario
L1W 3E6