MCN Static Order Page



PLAT ID_________________________
Order MGR_______________________
Due DATE_______________________


MCN DSL STATIC IP Order Form 1.5

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 MCN Order Form as PDF File Please return both forms to MCN:

By Mail
MCN attn: DSL Orders
P.O. Box 2445
Mendocino, CA 95460

By Fax
Last page of signed contract
and order form

In Person
10700 Ford Street

Your Name : ________________________________________________

Identify the Phone Number for Service

Please list the ten digit phone number, including area code for which you are requesting service:

____ ____ ____ - ____ ____ ____ - ____ ____ ____ ____

Choose A Level Of Service

Please choose only One of the Seven Levels of Service by initializing by that service.
MCN Basic DSL service is the most common selection.


Service Name Download Speed Upload Speed IP Introductory
Monthly Price
StaticIP Service 1.___ MCN Express-S Up to 1.5mbps* 128kbps to 384 kbps 5-13 $47.45
2.___ Pro-S 1.5mbps to 3.0 mbps 384kbps to 512kbps 5-13 $52.45
3.___ MCN Premium-S 1.5mbps to 6.0mbps 384kbps to 608kbps 5-13 $62.45



*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 MCN offers single ethernet port modems or four port/wireless access modems.

____Single Port Modem ($49.95 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.





Name: ______________________________________________







Last Updated on Wednesday, 30 October 2013 09:33