To continue using Online@Henrico to access the Internet please fill in this online form or use the Fax Form
First Name
Last Name
Day Phone Night Phone
User ID Log In Name (E-mail address)


Note: If you do not plan to monitor your e-mail address, please indicate what e-mail address to forward to.

Alternate E-Mail:

Cost per month

Cost for plan

Standard Package:

6 month

12 month

6 month

12 month

Unlimited Internet access and e-mail

11.00 9.75 $66 $117
Total due at renewal $66 $117




Total Amount:

Card Holder Name

Account # Expiration Date
Address if different from signup City



Current Henrico School student, staff, or faculty members.  If you are unsure if you live in our coverage area go to and check the local access numbers covered.

Our policies are simple: you are getting access to a non-permanent connection.  Account holder and  / or user agrees to the AUP (Acceptable Use Policy) and 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.

Thank you 

  Thank you 

Please note the charge on your statement will read "Access Technology."