Name: Current email: Telephone: Address:
Userid: 2 - 8 lower case characters - your "handle" Hostname: 2 - 8 lower case characters - your computer's "handle" 1st choice 2nd choice Password: 6 - 8 lower case letters
Which Amiga will you be using to access the internet?
A500 A500+ A600 A1000 A1200 A1500 A2000 A3000 A4000
Which CPU do you have in your Amiga?
68000 68010 68020 68030 68040 68060
Which version of Kickstart/Workbench are you using? Note: the software in this package requires at least 2.04 to run. The browser needs at least 3.0, but a couple of WB2 browsers are available. Details are in the help guide.
2.04 2.1 3.0 3.1
How much memory do you have? (Most of the software will work on a 2MB machine, but more is better)
2 MB 4 MB 6 MB More
The software and installer is usually posted out on disks. If you would prefer to receive by email to the address you gave above, then select the box for either a uuencoded or MIME encoded file.
Once you have sent this form, post your cheque/PO for £129 to:
Your startup pack will be mailed out within two working days of receiving your application.
Wirenet - The UK's first Amiga-only internet access provider