To start using VCU.Org to access the Internet please fill in this online form or call us at 355-9999.

First Name Last Name
Address
City State Zip
Day Phone Night Phone
User ID Log In Name (E-mail address)

Choice 1   

Choice 2   

Password

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

Alternate E-Mail:
(minimum 6 characters- no spaces, no special characters, no capital letters-maximum of 15 characters)

 

 

Cost for plan

Standard Package:

 

1 month

3 month

 

6 month

12 month

Unlimited Internet access and e-mail

  $16.95 $38.85   $66 $117
Total due at sign-up $16.95 $38.85   $66 $117

 

   
Options:
 
 
6 month
12 month
Option 1 Web storage space (10MB)
    $12 $24
Option 2 Additional Email address $15  $30

Additional E-mail

Password

(minimum 4 characters- no spaces, no special characters, no capital letters-maximum of 15 characters)

Payment:

Total Amount:

Card Holder Name

Account # Expiration Date
Address if different from above City

State

Zip

Thank you 

  Thank you 

Installation instructions and a Windows 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."