Swift Agreements | High Speed Broadband Internet

Section One - Customer Information

Business or Residential?*

Residential
Business

Is this inquiry for a Business or Residential Agreement?

Contact Name*

First Last

Contact Email*

For Customer communication only. We do not sell or share contact information.

Contact Phone*

Address*

Street Address City State Zip Code

Section 2 - Internet Service

Terms and Conditions of Agreement- By ordering and accepting Internet Service, you agree to adhere to the Internet Service Agreement available at swift-services.net, including any modifications to such terms and conditions as we may communicate to you from time to time.

Note: ** Internet Service Agreements are contracted for 2 years.

Internet Speed Choices

Please select the desired Internet Speed.

250 Megabit (Mbps) - $74.95
500 Megabit (Mbps) - $109.95
1 Gigabit (Gbps) - $249.95

Section 3 - Telephone Service

Type of Phone Lines Needed

Residential
Business

Residential = $30 per line - $30 per FAX line.
Business = $35 per line - $35 per FAX line.

Quantity of Phone Lines Needed

Wish to keep existing numbers?

Yes
No

If Yes, please list numbers to Port.

Section 4 - Television Service

Set Top Boxes / DVR

Notes:
Set Top Boxes - $6.00 / month.
DVR - $12.00 / month.
One-Time $25 TV Installation Fee per TV.

Need Set Top Boxes
Need DVR Services

Television Plans

Please select one Television Package.

Acclaim - $65.00
Prime - $108.99
Total - $118.99

Movie Channels

HBO
Cinemax
Starz
Showtime
Encore
Sports Pkg (Prime)
Sports Pkg (Total)

Love a Deal?

Sign up for ACH - Save $5.00 / month

Signing up for internet? Add Skitter TV - Save $5.00 / month

Section 6 - Signature

All customer proprietary network information (CPNI) is kept confidential.

Customer Signature

Initial Here

Date Signed

MM

DD

YYYY