South Central Indiana Community Access Network
Internet Access Account

Online Application

Note:  Applications will be processed within 24 hours, except on weekends.





(for verification purposes)

3 to 12 characters, made up of lower case letters, numbers, or a combination. No special characters allowed. Login ID may not begin with a number.

6 to 12 characters, made up of a combination of lower case letters and numbers. Must have at least one letter and one number. Password should not end with the number 1.

Note: Your email address will be [Login ID]@scican.net

Type of Service:

(Choose One)

Initial Payment Method:

Payment Frequency:

If you would like to make your initial payment by credit card and/or would like us to automatically charge your credit card, please fill out the information below.

I authorize SCICAN Corporation or its authorized agents to charge Internet service fees for the below account holder.

We only accept MasterCard, Visa or Discover

When to charge:

Name as it appears on card:
Credit Card Number:
Expiration Date:

Refund Policy: The initial payment fee is NON-REFUNDABLE. Refunds will not be made on a partial month basis. Only full month refunds will be available if the member submits this in writing to SCICAN.

SCICAN Corporation Use Agreement
I understand and will abide by the SCICAN Corporation Service Agreement and Acceptable Use Policy, which can be found at http://scican3.scican.net/business_scican/acceptable_use_policy.htm. I further understand that any violation of the regulations stated in the policy is unethical and may constitute a criminal offense. Should I commit any violation, my access may be revoked and/or appropriate legal action may be taken. I also state that I am 18 years old or older.

Member Name:Date:

If account is 25 days in arrears, service will be terminated.

You only need to hit the Send button one time; once you confirm by clicking "Ok," it's been sent. (Note: you might get an additional message from Outlook Express, informing you that it's sending the e-mail. Just click "Send.")  If you experience any difficulty in using this online application, please e-mail the above-requested information to support@iquest.net. Thanks!
If you have any questions, please contact the Webmaster.
Form Revised 10/05/02