Sign Up | Dark Wire VPN

salutation

firstname(Required)

lastname(Required)

company

phone

email1(Required)

Enter Email Confirm Email

username(Required)

Enter your preferred VPN username (letters and numbers allowed).

location

VPN Location I'm Most Likely to Use Regularly

cardtype(Required)

cardexpmo(Required)

Enter the credit card expiration month.

cardexpy(Required)

Enter the credit card expiration year.

cardname(Required)

Enter the name as it appears on your credit card.

cardnumber(Required)

Enter the credit card number with no spaces or dashes.

cardaddr1(Required)

Enter the billing address street/number.

cardaddr2

Enter the second line of address (if required).

cardcity(Required)

Enter the city of your card billing address.

cardstate(Required)

Enter two letters if in the USA and full state name if outside the USA.

country(Required)

Enter the country of your card billing address.

cardzip(Required)

Enter the zip/postal code of your card billing address.

price(Required)

Select a plan:
Standard - $9.95/mo
// Premium - $13.95/mo (offers more detailed support)

STD

PREM

groupcode

If your organization has negotiated an additional discount with DarkWireVPN, enter your group code here. (If you would like to learn more about discount options for your group, contact us through the website).

secq(Required)

Enter your own security question here. This is used to provide access to your account with our billing department.

seca(Required)

Enter your security question answer here.

Name

This field is for validation purposes and should be left unchanged.