Three Rivers Internet
Dialup Internet Access Subscription Request Form
You can use this form to request a subscription for a Dial-up Internet access account. No need for a credit card, we will mail you monthly for services, but you must live in the area of coverage. The area of coverage includes the cities between, immediately surrounding and including Tri-Cities, WA and Yakima, WA.
After completely filling out and submitting this form we will email your new configuration information to the email address you provide below. You can also call us to get your account setup, see our contact page for phone numbers. It can take up to 48 hours for us to get your account setup and your configuration information sent to you, typical time is less than 4 hours though.
* required field
Current Email Address: *
Billing Information:
First Name:
 *
Last Name:
 *
Company Name:
Address:
 *
City, State:
 *
Zip:
 * Other:
Telephone:
 *
Subscriber Information:
Mother's Maiden Name:
 *
Date of Birth:
 (MM/DD/YY)
Operating System:
 *
Experience:
Account Information:
Requested Username:
 *
2nd Choice Username:
 *


By filling out and submitting this form you are agreeing to the PowerNet terms and conditions.