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New Service Order Form
Lea Burns
2020-10-30T16:19:24+00:00
S&A New Service Form
Please enable JavaScript in your browser to complete this form.
Choose From the Services Below:
Telephone Services:
Residential Telephone Service*: $17.75 -
Business Telephone Service*: $20.75 -
*Other calling features not listed above.
Listed Phone Number:
Non-Listed: $0.50
Non-Published: $0.50
Inside Wire Maintenance:
Total Home Protection: $9.95/mo.
No
Calling Features
Voicemail: $4.00/mo.
Calling Name & Number Delivery: $5.00/mo.
Call Waiting: $1.50/mo.
Call Waiting ID: $2.00/mo.
*Other calling features not listed above.
Long Distance Calling Options:
Yes
No
Bundled High Speed Fiber Internet and Phone Packages:
5Mbps Bundle: $71.75
10Mbps Bundle: $79.75
25/25Mbps Bundle: $86.45
55/55Mbps Bundle: $96.45
100/100Mbps Bundle: $111.45
200/200Mbps Bundle: $125.45
*Speeds are subject to availability.
Please Choose Your Long Distance Plan:
Option 1: $0.10 cents per minute: no monthly fee
Option 2: $0.07 cents per minute: $4.95/mo.
Option 3: 500 minutes of long distance: $21.95
High Speed Internet:
5Mbps: $60.00/mo.
10Mbps: $70.00/mo.
25Mbps: $79.95/mo.
55Mbps: $99.95/mo.
100Mbps: $115.95/mo.
High Speed Internet requires installation/activation fees. Our staff will provide additional details. *Prices shown are with active telephone service. *Download and upload speeds may vary.
Residential Wi-Fi Home Solutions:
Wi-Fi Connected Home Limited: $18.95 - (Includes 1 Router and 1 Mesh Unit)
Wi-Fi Advanced Connected Home: $24.95 - (Includes 1 Router and 2 Mesh Units)
Additional Products & Services:
Connect Protect AntiVirus (Monthly Package) - $2.99/mo. (covers up to 3 devices) $1.25/mo for each additional device
Connect Protect AntiVirus (Yearly Package) - $29.99 for 1-year (covers up to 3 devices) $1.25/mo for each additional device
Account Information
Name
*
First
Last
Phone
*
Email
*
Physical Address
*
Address Line 1
Address Line 2
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District of Columbia
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Billing Address (If Different Than Physical)
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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