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 Copyright © 2003
Southern Maryland Internet, Inc.
All Rights Reserved

 The Chesapeake Bay Region's Favorite  Gateway to the Internet!
 Providing the Chesapeake Bay Region with Broadband
and Dialup Internet Access Since 1995

 Chesapeake.Net Tier 1 Email
Request Form
 There is a one-time $5.00 charge for this service!

 To request additional email  addresses, change existing email  addresses or change email passwords  please complete this form.  NOTE: Changes to the name of an email address will result in the deletion of the old email address and all emails that have not alreasy been retrieved.  Changes will be made within 24-48 hours .



 Account Holder's Full Name

 Phone Number

 Account Holder's Primary  Email Address


 Primary Email Password

 Change Request (Choose one)

  Add Email      Change Email (deletes old email)

 New Email Address (Required)


 New Email Password (Required)