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Street Address 1 Street Address 2 City State Select...HIALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWADCWVWIWY   or Province Zip/Postal Code Country Select...UNITED STATESCANADAALBANIAALGERIAAMERICAN SAMOAANDORRAANGOLAANGUILLAANTARCTICAANTIGUA AND BARBUDAARGENTINAARMENIAARUBAAUSTRALIAAUSTRIAAZERBAIJANBAHAMASBAHRAINBANGLADESHBARBADOSBELARUSBELGIUMBELIZEBENINBERMUDABHUTANBOLIVIABOSNIA AND HERZEGOVINABOTSWANABOUVET ISLANDBRAZILBRITISH VIRGIN ISLANDSBRUNEI DARUSSALAMBULGARIABURKINA FASOBURMABURUNDICAMBODIACAMEROONCANADACAPE VERDECATALONIACAYMAN ISLANDSCENTRAL AFRICAN REPUBLICCHADCHILECHINACHRISTMAS ISLANDCOCOS (KEELING) ISLANDSCOLOMBIACOMOROSCONGOCOOK ISLANDSCOSTA RICACOTE D'IVOIRECROATIACROATIA (OBSOLETE)CUBACYPRUSCZECH REPUBLICDENMARKDJIBOUTIDOMINICADOMINICAN REPUBLICEAST TIMORECUADOREGYPTEL SALVADORENGLANDEQUATORIAL GUINEAERITREAESTONIAETHIOPIAFALKLAND ISLANDSFAROE ISLANDSFIJIFINLANDFR. PACIFIC ISLANDSFR. WEST INDIESFRANCEFRENCH GUIANAFRENCH POLYNESIAGABONGAMBIAGAZA STRIPGEORGIAGERMANYGHANAGIBRALTARGREECEGREENLANDGRENADAGUADELOUPEGUAMGUANAGUATEMALAGUINEAGUINEA EQUITORIALGUINEA-BISSAUGUYANAHAITIHOLLANDHONDURASHONG KONGHUNGARYICELANDILE MAURICEINDIAINDONESIAIRANIRAQIRELANDISRAELITALYIVORY COASTJAMAICAJAPANJORDANKAZAKHSTANKENYAKIRIBATINORTH KOREASOUTH KOREAKUWAITKYRGYZSTANLAOLATIN AMERICALATVIALEBANONLESOTHOLIBERIALIBYALIECHTENSTEINLITHUANIALUXEMBOURGMACAUMACEDONIAMADAGASCARMALAWIMALAYSIAMALDIVESMALIMALTAMAROCMARSHALL ISLANDSMARTINIQUEMAURITANIAMAURITIUSMAYOTTEMEXICOMICRONESIAMOLDOVAMONACOMONGOLIAMONTSERRATMOROCCOMOZAMBIQUEMYANMARNAMIBIANAURUNEPALNETHERLANDSNETHERLANDS ANTILLESNEUTRAL ZONENEW CALEDONIANEW GUINEANEW ZEALANDNICARAGUANIGERNIGERIANIUENORFOLK ISLANDNORTHERN MARIANA ISLANDSNORWAYOMANOUTER MONGOLIAPAKISTANPALAUPANAMAPAPUA NEW GUINEAPARAGUAYPARANAPERUPHILIPPINESPITCAIRNPOLANDPOLYNESIAPORTUGALPUERTO RICOQATARREUNIONROMANIARUSSIARWANDASAINT HELENASAINT KITTS AND NEVISSAINT LUCIASAINT PIERRE AND MIQUELONGRENADINESSAMOASAN MARINOSAO TOME AND PRINCIPESAUDI ARABIASCOTLANDSENEGALSERBIASEYCHELLESSIERRA LEONESINGAPORESLOVAKIASLOVENIASOLOMON ISLANDSSOMALIASOUTH AFRICASPAINSRI LANKAST. LUCIASTS. ISLANDSSUDANSURINAMESWAZILANDSWEDENSWITZERLANDSYRIATAIWANTAJIKISTANTANZANIATCHADTHAILANDTOGOTOKELAUTONGATRINIDAD AND TOBAGOTUNISIATURKEYTURKMENISTANTURKS AND CAICOS ISLANDSTUVALUUGANDAUKRAINEUNITED ARAB EMIRATESUNITED KINGDOMUNITED STATESURUGUAYUSSRUZBEKISTANVANUATUVATICAN CITYVENEZUELAVIETNAMVIRGIN ISLANDS (BRITISH)VIRGIN ISLANDS (U.S.)WEST AFRICAWESTERN SAHARAWESTERN SAMOAYEMENYUGOSLAVIAZAIREZAMBIAZIMBABWE

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Best Way to Contact me: Telephone Cell Phone Email Fax US Postal Service Please Don't Contact me

I would like a Hokua email address? (Owners Only) Yes   No

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Special Reqirements (Check All that apply) Desktop Computer Packages Computer Training Laptop Computer Packages Wireless Access in my unit Computer Support Services Wireless Access in public areas at Hokua Peripherals like Printers, Faxes, Scanners, Monitors, etc. Other: (please specify)

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Please turn on the wireless in my Unit: Yes   No

Please Turn on Encryption for my Wireless: Yes   No

Enter desired 10 Digit numeric encryption key. We recommend a phone number, with area code, as it is easy for you to remember. When you connect to your wireless network it will usually prompt you to enter and then re-enter the key. You only have to do this once as your computer should remember these settings. However, if you need to share this key with a visitor, or you get a new computer you will need to remember this key.