Advance Payment by Check or Money Order
Simutronics Sign Up Form

Form last updated: 12/11/2000
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Instructions for This Form

Player Information

First Name:
______________________________________________

Middle Initial:
______________________________________________

Last Name:
______________________________________________

Internet Email Address:
______________________________________________

play.net Account Name:
______________________________________________
(if applicable)  
Address
Address: ______________________________________________

City:
______________________________________________

State or Province:
______________________________________________

Zip or Postal Code:
______________________________________________

Country:
______________________________________________

Telephone Number:
______________________________________________

Account Security Code Information (about)

Security Question:
______________________________________________

Security Answer:
______________________________________________

Instructions

If you wish to pay for your account in advance by check or money order, the minimum payment we will accept is $75.00, which includes a $15.00 processing fee. If you choose this option, we would recommend that you take your monthly bill and multiply it by 6 (thus paying the equivalent of 6 months in advance) to avoid paying additional processing fees. 

To set up your account for advance payment by check or money order, you can give us the information over the phone (checks only), or mail it to us.

By Phone (CHECKS ONLY) 
Have one of your checks handy, and then call our billing office at 1-636-925-3172, 1pm to 9pm Eastern, Monday through Friday.


By Mail
Print this sheet and fill it out. Mail it and your funds to us and we will call you when the account is set up to verify your password. If you are sending additional funds to be added to an already existing account, be sure to put your account name in the appropriate field on the form, as well as write it on the check or money order in the memo or reference field.

Please make your check or money order out to Simutronics Corporation and mail it along with either a printed or hand-written copy of this page to:

Simutronics Corporation
218-C Millwell Drive
Maryland Heights, MO 63043  
attn: Billing

Upon receipt of your funds, we will apply the balance to your account. After the credit balance remaining is less than the next billing cycle amount, account access will be suspended until we receive your next check. Don't worry, we'll let you know if your account is in danger of shutdown!

Please note: any returned checks will result in a $15.00 returned check fee and termination of your service access.