INTERNET ACCESS
Dial Up
High Speed DSL
High Speed Wireless
Mesh WiFi
WEB SERVICES
VoIP
CONSULTING
SOFTWARE
SUPPORT
High Speed Wireless Sign Up
Customer Information
Name
Address
City
State / Zip
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisianna
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
/
Home Phone
Work Phone
Wireless Service Information
(choose 1 only)
256 Kbps
$15.00 Monthly
512 Kbps
$19.00 Monthly
768 Kbps
$29.00 Monthly
1.5 Mbps
$39.00 Monthly
Canopy SM
Buy
$279 (Free Installation)
Lease
$20/mo + $150 Installation
Billing Information
Payment Option
Send me a bill
Pay by Credit Card
Automatically bill my card each month
Credit Card #
Expiration Date
(MM/YY)
Comments
A
ny additional comments/questions, please enter below:
Terms and Conditions
This agreement is by and between Internet Communications Inc., and the Customer (as set forth in this application) of certain communications services to the customer. The customer certifies that they are 18 years of age or older. Customer understands and accepts the Terms and Conditions listed and agrees to pay the appropriate monthly amount as indicated. Customer agrees to pay for Internet Communications Inc., by means of credit card or monthly billing. Customer agrees to let Internet Communications Inc., Inc, bill customer's charge account automatically under the terms of this agreement. Payments not received within 15 days of billing date will result in immediate termination of the Customer's Internet Communications Inc., account and cancellation of the services provided by Internet Communications Inc.,. Termination does not void Customer's responsibility under this agreement up to date of termination. A $5 late fee may be assessed to any account that is "Past Due". Internet Communications Inc., will provide certain internet services and the customer agrees to acceptable use of such services under state and federal laws. Under no circumstances shall Internet Communications Inc., be liable for the actions of those customers whom do not abide by our acceptable use policy. Internet Communications Inc., cannot be held accountable for downtime or "Acts of God". Customer agrees that they may be charged a dedicated rate if a service is left on 24/7. Internet Communications Inc., maintains a no busy signal policy under "normal circumstances" but cannot be held accountable if an dramatic increase in customers is the cause of busy signals. (ex. Promotions, Specials, Media.) By clicking the "I Agree" button on the online signup, you are agreeing to the Terms and Conditions of this contract.
By clicking the "Sign Up" button below, you are agreeing to the Terms and Conditions of this contract.
Internet Communications Inc.
211 Commerce Dr., Suite B,
Franklin, IN 46131
Ph: 1-317-738-0320
