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Wireless Areas
Access Numbers
Name:
Email Address:
Street Address:
City:
State:
Zip Code:
Phone #:
(If Preferred)
In Addition to Wireless Internet Service, Are there any other services that you are interested in?
Dial-Up Internet
(As Low As $7.95/month)
Accelerated Dial-Up Internet
(As Low As $14.90/month)
Dish Network Television
VOIP Telephone
Would you be interested in receiving a discount for making automatic payments?
Yes
($5/month Discount)
No
With our Smart 20 plan, you can receive a $20 per month discount for your service by paying a one time $399 fee at the time of sign up in order to help offset the high costs of the equipment and labor that goes into your wireless installation. Are you interested in signing up for our Smart 20 plan?
Yes
($20/month Discount)
No
What length of contract would you be interested in signing up for?
1 Year
($149 Setup Fee)
No Contract
($199 Setup Fee)
Which speed package would you like to request?
512kb/s upload and download
(Standard Package)
768kb/s upload and download
(Add $15 monthly)
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