Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Unit Number *Current ISP *Who is your current Internet Service Provider?Select package plan: *General Info (Free of charge)100mbps Basic (100mbps/15mbps) ($59.95/mo)150mbps Performance (150mbps/25mbps) ($89.95/mo)200mbps Extreme (200mbps/35mbps) ($129.95/mo) - only available in select areasAll internet plans require a one-time $99.95 activation/installation fee. Internet speeds are not guaranteed and are offered at best effort.OPTIONAL - Wireless Router *I want to purchase a router from Forefront Wireless for $109.99.**I want to lease a managed router from Forefront wireless for $15.95 per month (for homes over 1900 square feet).I want to lease a managed router from Forefront wireless for $12.95 per month (for homes under 1900 square feet).Customer will provide their own router.Customer router cannot be one provided by a previous ISP. **Purchased router includes a one-year warranty. Support provided by hardware manufacturer.**OPTIONAL - Public IP Address *YES - ($9.95/mo) - $ 9.95NO - $ 0.00Activation/Installation *Price: $ 99.95A one-time Installation/Activation charge of $99.95 is applicable to all packages. Installation consists of professional install of a roof-mounted antenna with one outside penetration. Installation/Activation along with first month’s payment are due at the conclusion of the install.Total due at time of installation:$ 0.00TX sales tax not included.Questions/Comments:CommentSubmit
