| MCN STAFF ONLY
PLAT ID_________________________ Order MGR_______________________ Modem #________________________ Due DATE_______________________ |
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:
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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 ($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
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