To start using Online@Henrico to access the Internet please fill out this form online and print it
Fax this to 355-1119 or Mail to:
Access Technology
403 Twinridge Lane
Richmond, VA  23235

Online@Henrico
School Association Student Parent Faculty Staff
First Name Last Name
Address
City State Zip
Day Phone Night Phone
User ID Log In Name (E-mail address)
Choice 1 @henricoschools.org
Choice 2 @henricoschools.org
Password
(minimum 6 characters- no spaces, no special characters,
no capital letters-maximum of 15 characters)
Note: If you do not plan to monitor your henricoschools.org e-mail address, please indicate what e-mail address to forward to.   Alternate E-Mail:
Standard Package:

Cost per month

Cost for plan

monthly*

6 month

12 month

monthly*

6 month

12 month

Unlimited Internet access and e-mail

12.50 11.00 9.75 $12.50 $66 $117
Total due at sign-up $25* $66 $117

*Sign-Up fee for monthly billing $12.50

Filtering of Internet content Yes No

Additional e-mail accounts
e-mail #2  @henricoschools.org Password
e-mail #3  @henricoschools.org Password
e-mail #4  @henricoschools.org Password

MasterCard Visa Amex Discover          Total Amount:

Card Holder Name

Account #

Expiration Date

Address if different from above

City

State

Zip

If your operating system is Windows check here The installation instructions and CD will be mailed to you. 
Effective start time of service will be the next business day (after submission of this form) at  6pm  Please note the charge on your statement will read "Access Technology."       Our policies are simple: you are getting access to a non-permanent connection.  Account holder and / or user understands that illegal use of account may result in termination without refund. Contracts cancelled prior to end of period will result in a prorated billing at the current monthly non-discounted rate and all billings will be in monthly increments (no partial month refunds.)  Account holder is adult payee.