Service Request Form 
You will be contacted and scheduled ASAP!

Please fill in the following personal information.

Full Name
Street Address

City

Contact Number
Contact Time
Email Address


Tell us about your Computer

Manufacturer
Model
Processor Class
Operating System

Select a billing option:

Monthly Billing (ACH Auto-Draft) * 
Quarterly Billing
Yearly Billing (First month free)**

Select a wireless product:

$54.95 Month - Residential wireless 

$89.95  Month - Small Business (1 or 2 PC's)

$129.95 Month - Business Plus (3 to 5 PC's)




* One time installation fee of $200.00

**First month of residential service will be waived with first year paid in advance.

*** Setup cost of business high speed wireless will not be waived  

All billing options are due at time service is ordered!  

 


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