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
Cost per month
Cost for plan
monthly*
6 month
12 month
Unlimited Internet access and e-mail
*Sign-Up fee for monthly billing $12.50
Filtering of Internet content Yes No
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.