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Package Options
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Equipment Type:
Choose your package
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Portable Desktop Wireless Modem
$29.99 per Month.
Rate is Guaranteed for Life!
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Broadband / VOIP Bundle
Broadband Modem + VOIP Phone Service
$49.99 per Month.
Includes Unlimited Local and Long Distance With all of the Options!
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Mobile PC Card
$49.99 Per Month.
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Broadband Bundle
Desktop Wireless Modem + Mobile PC Card
$69.99 Per Month.
Price Includes the Leasing of Both the Modem and the Laptop Card!!
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Lease or Purchase?
Choose One
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Lease Equipment
$4.99 per Month for the Modem,
$6.99 per Month for the Mobile PC Card.
Both are Included at no charge with the Broadband Bundle!
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Purchase Equipment
$99 + Tax for the Modem,
$229 + Tax for the Mobile PC Card.
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Note: The ATA (Analog Telephone Adapter) must be purchased for $14.99 + Tax if you are subscribing to our VOIP Phone service. |
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Contract Term
Choose One
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1 Year Agreement
$50 Activation Fee Applies
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2 Year
FREE Activation!
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Account Information
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| First Name: |
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| Last Name: |
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| Service Address Street 1: |
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| Service Address Street 2: |
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| City: |
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| State: |
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| Zip Code: |
(5 digits) |
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| Daytime Phone: |
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| Evening Phone: |
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| Current Email: |
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| Drivers License Number: |
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| Issuing State of DL: |
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Date of Birth:
(MM/DD/YYYY) |
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Social Security Number:
Last 4 Digits Only! |
Please enter the last 4 Digits of your SSN
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Desired User Name:
(Will only be needed to access your account information) |
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Billing Information
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| Name on Credit or Debit Card: |
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Credit or Debit Card Number:
Note: This card will be debited on the same day each month for you internet service! |
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| Card Expiration Date: (MM/YYYY) |
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Card Security Code:
Last 3 on the Back of the Card or
4 on front if American Express. |
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Billing Address:
(The Address on record with the Bank. If different than the service address.) |
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Shipping Information
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Ship To Address:
(If different than service address) |
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| Notes: |
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