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Service Request Residential
Home > Service Request Residential
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Select Terms for Customer
*
1 Year Term $99 Installation Fee
2 Year Term $0 Installation Fee
No Contract
No Contract Terms
Installation & Configuration Fee $99
Equipment Radio & Router $183.98 Includes Sales Tax
Public Static Ip Address Monthly Fee $30
Layout
Full Name
*
Phone
*
Physical Address
Layout
Worker Name
*
Caguas
Gurabo
Juncos
Cayey
Email Address
*
Worker Name
*
Caguas
Gurabo
Juncos
Cayey
Zip Code
Billing Address
Zip Code
Select Desired Speed
*
10/5 Mbps $50.03
15/5 Mbps $56.03
20/5 Mbps $61.03
25/10 Mbps $66.03
30/10 Mbps $71.03
35/10 Mbps $76.03
40/15 Mbps $86.03
50/20 Mbps $96.03
Special Rate
Select Desired Speed
*
10/5 Mbps $45.00
15/5 Mbps $55.00
20/5 Mbps $65.00
25/10 Mbps $75.00
30/10 Mbps $85.00
Special Rate
Layout
Approved By
Date
Submit