Mendocino Community Network

 

MCN DSL Order Form 1.22 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:

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.

 *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 ($44.95 plus tax)

____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: $35.95 | Advanced: $40.95 | 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 $44.95 (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. DSL will not work if more than 5 jacks are used on the same phone line.
• Customer will be billed on DSL circuit due date unless customer notifies MCN of technical problems.

Subscriber

By:__________________________________________________
                                               signature

Name: _______________________________________________
                                                   print