Subscribe to Countryside Broadband By filling in and submitting the following form, you agree to be bound by our terms and conditions, policies and prices, subject to successful connection only. (You will NOT be charged until we deliver!) Click here to view terms and conditions   (View PDF) Click here to view policies   (View PDF) Click here to view price details    (View PDF) Please fill in the following: 1. Full Name: 2. Email Address:: 3. Telephone Number:: 4. Fax Number: (optional): 5. Address Line 1:: 6. Address Line 2:: (optional) 7. Town:: 8. Post Code :: 9. Comments: (optional)       Describe your computer below: 11. Operating System: Windows 9x/MEWindows XPWindows NT/2000MacLinuxOther   If your operating system is not listed, please specify::       13. Does your computer have a network port? Yes No       14. Does your computer have any spare ISA/PCI slots inside? Yes No       15. Do you operate a local area network (LAN)? Yes No       If you answered YES to question 15, please answer the following two questions:       16. Do you have a router on your premises? Not ApplicableYes No       17. Do you have a firewall installed? Not ApplicableYes No         Subscriber Terms © Copyright 2003 CSB Web Design by & © Copyright 2003 WebShopWindow.com and its licensors. All rights reserved.