Hedgebuilders Sign-up Form


Step 2. Please complete the following quick sign-up form. All fields are required.

First Name:
Last Name:
Email Address:
Home Phone:
Home Address:
City:
State:
Country:
Zip Code:
Payment Method:Visa
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If you want to pay by check, please click the Back button on your browser.
Credit Card Number:
Credit Card Expiration:
How did you hear about Hedgebuilders?
The Internet(where?), Hedgebuilders Rep, Focus on the Family web site, Word of mouth, Your church (what's it's name), Other (please be specific).

Subscriber Agreement
I am applying for Filtered Internet through Hedgebuilders. I understand that Hedgebuilders blocks access to certain Internet Sites that I am legally entitled to view under the First Amendment, the Freedom of Information Act, the Computer Decency Act, and other legislation. I choose to voluntarily give up these rights in order to avoid viewing of inappropriate content by myself and my family. I give Hedgebuilders authority to make determinations of appropriate and inappropriate content on my behalf and to select sites for blocking accordingly.
I further understand that the Internet is constantly changing, worldwide, and largely unregulated. Several thousand new sites are added each week. Hedgebuilders will diligently attempt to filter all inappropriate sites according to strict Christian guidelines, but it is possible that a site may exist for a short time before it becomes blocked. Should we ever inadvertently discover a site that, in our opinion, should be blocked, notification by e-mail (support@hedge.org) will result in that site being expediently reviewed for blocking. Hedgebuilders is unable to provide warranties beyond these.
I have read and agree with the above.
Type your full legal name in this box:

Click the "Submit" button below to create your account
and go on to Step 3:
(IMPORTANT NOTE: After you click on the "Submit" button if you receive the message "Form Was Not Processed" CLICK HERE for more information on how to proceed.)
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