Panix Config

Panix new user registration

Please use this form to order Panix shell or PPP account.

Filling out this form is not an obligation to purchase a Panix account. We will contact you to verify your identity. Your shell account will be set up once we do.

Please note that we do not have overseas dialups. If you are outside the United States, we can provide a No-dial shell account. If possible, please include an email address where we can reach you.

Service level

Billing cycle

Your contact information

Use my billing contact information

* Name

* Phone 1

Non-US numbers should begin with a '+'

Phone 2

* Email address

When is a good time to call?
(please note your time zone)

Additional info

Do we need your billing information?

Please add this to my current bill (you will be asked to authenticate)
New billing record supplied here

Company

* Name

* Street address

* City

* State

* Country

* Postal code

* Phone 1

Non-US numbers should begin with a '+'

Phone 2

* Email address

Please enter a challenge and response we can use to verify your identity over the phone. For example:

Challenge

What was the first school you attended?

Response

Springfield Elementary

* Challenge

* Response

Reset email address

Optional: an email address to use for password reset email if you've forgotten your password.

* indicates required field