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		Royell Sign-up Form Select Your Payment Method: Pricing Info Monthly 3 Months 6 Months yearly First Name: Last Name: Phone Number: Street Address: City: ZipCode: Username: (3-8 Characters) Password: (3-8 Characters)     This registration form is only for our Dial-up Internet Access. If you would like to sign-up for our Wireless Internet Access, Domain Hosting or Web Design Services then please contact us at (217) 965-3699 to sign-up.