Service Agreement

Name(Required)

First Last

Street Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Address

Same as street address

Different than street address

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Home Phone(Required)

Business Phone

Cell Phone

This information, while not required, is extremely helpful with future technical support and troubleshooting.

SSID (WiFi Name)

WiFi Password

Please choose your preferred speed package(Required)

Basic - (20/10 Mbps)

Intermediate - (40/20 Mbps)

Premium - (60/30 Mbps)

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