Wireless.Budget $29.95 Monthly. For use with One Computer. INITIALS_______
Installation $150.00 + First Month of Service $29.95 + Taxes $9.68 Total $189.63
Wireless.Basic $39.95 Monthly. For use with One Computer. INITIALS_______
Installation $150.00 First Month of Service $39.95 Taxes $10.31 Total $200.26
Wireless.Basic Year $479.40 One Year Prepay For use with One Computer. INITIALS_______
Installation $100.00 One Year of Service $479.40 Taxes $17.46 Total $596.86 - Savings of $53.13
Wireless.Pro-Basic $59.95 Monthly. Multi PC use. INITIALS______
Installation $200.00 First Month of Service $59.95 Taxes $14.68 Total $274.63
Wireless.Pro-Basic Year $719.40 One Year Prepay Multi PC use. INITIALS______
Installation $100.00 One Year of Service $719.40 Taxes $32.46 Total $851.86 - Savings of $106.25
Wireless.Basic+ $74.95 Monthly. For use with One Computer. INITIALS_______
Installation $150.00 First Month of Service $74.95 Taxes $12.50 Total $237.45
Wireless.Basic+ Year $899.40 One Year Prepay For use with One Computer. INITIALS_______
Installation $100.00 One Year of Service $899.40 Taxes $43.71 Total $1043.11 - Savings of $106.25
Wireless.Pro-Basic+ $94.95 Monthly. Multi PC use. INITIALS_______
Installation $200.00 First Month of Service $94.95 Taxes $16.87 Total $311.82
Wireless.Pro-Basic+ Year $1139.40 One Year Prepay Multi PC use. INITIALS_______
Installation $100.00 One Year of Service $1139.40 Taxes $58.71 Total $1298.11 - Savings of $106.25
Battery Backup / Surge Protection.
Power Line Surge Protection (UPS Battery Backup 350VA) $65.00 Yes____ No____
I verify I am at least 18 years of age, have read this Service Agreement, and initialed the product that is to be ordered and installed. I acknowledge that I have read and agree to the Wireless Service Agreement available at www.ectisp.net
Print Name _________________________________________ Date _______________
Signature _______________________________________________________________
Initial payment: $________
(Please initial payment type below)
Check/Cash ______ (initial)
Credit/Debit Card _______ (initial)
(One time, for installation only)
Credit/Debit Card __________ (initial)
(Monthly Wireless Service and installation will be billed to your Credit Card.)
Credit Card Info
Type: Visa ______ MasterCard _____
Name on card: ____________________________
Billing Address:____________________________
Card #_________-_________-_________-_________ Exp. _______/_______
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