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Fixed Wireless Service Request Form
Thank you for your interest in HiSpeed4U Wireless Interenet Service. This service request is the first step in getting high speed internet service for your home or business. Please provide your contact information in the service request form below and indicate the service you are interested and then click "Submit". A HiSpeed4U representative will contact you shortly to confirm service availability and schedule installation appointment.

Step 1: Enter your Address
Physical Address
Company
* First Name
* Last Name
* Phone
Fax
* E-mail
* Street Address
* City
* State
* ZIP Code
Billing Address (if different than physical address)
Company
First Name
Last Name
Phone
Fax
E-mail
Mailing Address
City
State
ZIP Code

All Fixed Wireless Customers get HiSpeed4U's
"OUT and ABOUT" Roaming Wireless for FREE!

Step 2 : Choose Your Plan and Installation
Residential - 24 month Contract

BEST VALUE!
Home Prepaid Annually- $39.95 per month Installation Charge - (24 month commitment)†

$479.40 at time of installation

Home Prepaid Quarterly- $54.95 per month Installation Charge - (24 month commitment)

$264.80 at time of installation

Home Month-to-Month - $59.95 per month Installation Charge - (24 month commitment)

$249.90 at time of installation
Business - 24 month Contract

BEST VALUE!
Business Prepaid Annually- $89.95 per month Installation Charge - (24 month commitment)†

$1,079.40 at time of installation

Business Prepaid Quarterly- $109.95 per month Installation Charge - (24 month commitment)

$449.80 at time of installation

Business Month-to-Month - $119.95 per month Installation Charge - (24 month commitment)

$329.90 at time of installation
Residential - 12 month Contract

Home Prepaid Annually- $49.95 per month Installation Charge - (12 month commitment)

$759.35 at time of installation

Home Prepaid Quarterly- $54.95 per month Installation Charge - (12 month commitment)

$364.80 at time of installation

Home Month-to-Month - $59.95 per month Installation Charge - (12 month commitment)

$349.90 at time of installation
Business- 12 month Contract

Business Prepaid Annually- $99.95 per month Installation Charge - (12 month commitment)

$1,379.35 at time of installation

Business Prepaid Quarterly- $109.95 per month Installation Charge - (12 month commitment)

$549.80 at time of installation

Business Month-to-Month - $119.95 per month Installation Charge - (12 month commitment)

$429.90 at time of installation

†Free Install is limited to the first hour and gives you the connector to connect to your Ethernet Card. Extra time due to difficult installation conditions or computer problems will be billed at $75 per hour.

All Fixed Wireless Customers get HiSpeed4U's
"OUT and ABOUT" Roaming Wireless for FREE!

Referred by:

Check this box to indicate that you have read and agree to the Terms and Conditions of HiSpeed4U broadband internet service:

 
 
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