| MCN STAFF ONLY
PLAT ID_________________________ Order MGR_______________________ Modem #________________________ Due DATE_______________________ |
MCN DSL Order Form 1.20 RESIDENTIAL
This is a binding contract. Please read it carefully.
To order DSL Service, please print and complete the form.
You will also need to complete a DSL Contract before MCN can order your DSL service.
You can download this order form as a PDF file Please return both forms to MCN:
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By Mail
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By Fax
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In Person
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Your Name : ________________________________________________
Identify the RESIDENTIAL Phone Number for Service
Please list the ten digit RESIDENTIAL phone number, including area code for which you are requesting service:
____ ____ ____ - ____ ____ ____ - ____ ____ ____ ____
Choose A Level Of Service
Please choose only One of the three Levels of Service by initialing by that service.
MCN Basic DSL service is the most common selection.
| Service Name | Download Speed | Upload Speed | IP | Introductory
Monthly Price |
||
| Dynamic IP Service | 1.___ | MCN DSL Basic | Up to 1.5mbps* | 128kbps to 384 kbps | 1 | $24.99 |
| 2.___ | MCN Advanced DSL | 1.5mbps to 3.0mbps | 384kbps to 512kbps | 1 | $29.99 | |
| 3.___ | MCN Premium | 1.5mbps to 6.0mbps | 384kbps to 608kbps | 1 | $34.99 |
*Customers who are less than 11,100 cable feet from the central office receive a guaranteed minimum download speed of 384kbps on Basic service.
Choose a Modem
____Single Port Modem ($39.95 plus tax/shipping)
____Four Port/Wireless Access Modem ($99.95 plus tax)
Current MCN DSL Service Provisions:
Following are the current DSL Service Provisions. These are subject to change as is noted in section IA of the MCN Contract.
- All MCN accounts are covered by the MCN Acceptable Use Policy.
- Customer MUST have AT&T RESIDENTIAL service on requested phone number.
- Introductory pricing stays in place for one year for Basic, Pro, and Premium. One 12 month promotional period per customer unless customer orders concurrent service.
- Introductory pricing reverts to month to month after a year. Current
month to month rates: Basic: $34.95 | Advanced: $39.95 | Premium:
$44.95.
- In the event AT&T terminates MCN's access to wholesale DSL, MCN may terminate this agreement.
- Customer
must maintain working AT&T phone line and AT&T local phone
service or DSL service will not work.
- Customer should notify MCN if there are two-line phone jacks, phone systems or other special phone equipment involved in their DSL order.
- Modems for DSL service is available at a sale price of $39.95 (single port) or $99.95 (multi-port/wireless router) plus tax and any applicable shipping charge.
- Data transfer rates between customer NIC and DSL Central Office or remote terminal are influenced by several factors including line quality and loop length. 10% to 20% protocol overhead is considered normal. Actual rates above 80% of listed minimum transfer rate are considered acceptable.
- Customer must identify servers on DSL lines. Customer may be subject to further charges for excessive bandwidth if servers impact the MCN network
- MCN is not responsible for outages not reported by the customer.
- Customer is responsible for all aspects of the local area network and inside phone wiring at their site. Customer computer must have an ethernet card in order to use DSL. DSL will not work if more than 5 jacks are used on the same phone line.
- Customer will be billed within 5 days after DSL circuit due date unless customer notifies MCN of technical problems.
Subscriber
By:__________________________________________________
signature
Name: _______________________________________________
print
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