Colorado Valley DSL Speed Change 5/2019 You should be able to receive up to 25 Mbps download/3 Mbps upload today and in some cases may receive faster speeds. If you are ready to request service, please choose the option to continue with application below. If you would prefer to wait for fiber, please choose that option (choose one). * Continue with application I'd rather wait for fiber You should be able to receive up to 10 Mbps download/1 Mbps upload today and in some cases may receive faster speeds. If you are ready to request service, please choose the option to continue with application below. If you would prefer to wait for fiber, please choose that option (choose one). * Continue with application I'd rather wait for fiber You should be able to receive up to 5 Mbps download/1 Mbps upload today and in some cases may receive faster speeds. If you are ready to request service, please choose the option to continue with application below. If you would prefer to wait for fiber, please choose that option (choose one). * Continue with application I'd rather wait for fiber Contact Information First Name (Legal) * Last Name * Date of Birth * Email * (All correspondence including your service agreement, installation scheduler, and billing information will be sent to this email address.) Phone Number * Preferred Contact Method * PhoneEmailNo Preference Service Address * City * State (2 character abbreviation) * Zip Code * Your High Speed Broadband Community Do you rent or own the property where you are looking for service? * Rent Own Landlord's name * Landlord's phone number * Is your billing address different from your service address? * Yes No Billing Street Address * Billing City * Billing State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Billing Zip Code * How did you hear about Colorado Valley Internet? * Email Facebook Referred by friend/neighbor Radio Ad Connection Magazine Community Event Employee Web Advertisement Newspaper Ad Yard Sign Direct Mail Service Truck Billboard Web Search Other Employee name * Friend/neighbor * Pick your internet option! Are you interested in.. * Adding New Service Upgrade your existing Choose your service type * Bundle ( Phone + Internet ) Individual ( Internet only ) Choose your service type * Individual ( Internet only ) Please choose your preferred term commitment. * 12 Mo Contract $99.00 Install Fee24 Mo Contract $0.00 Install Fee36 Mo Contract $0.00 Install Fee Please choose your preferred term commitment. * No Contract - $499 Install Fee12 Mo Contract $199 Install Fee Internet INTERNET MONTHLY CHARGES 5/ 1 Mbps - $49.99/ month 10/ 1 Mbps - $59.99/ month 15/ 1 Mbps - $69.99/ month 25/ 3 Mbps - $89.99/ month 50/ 10 Mbps - $109.99/ month VOICE & INTERNET BUNDLES - Minimum 12 Month Contract RequiredAll bundles include a Wireless Router CVC Complete - 10/ 1 Mbps - $97.99/ month* CVC Complete Plus - 25/ 3 Mbps - $127.99/ month* CVC Basic - 10/ 1 Mbps - $77.99/ month CVC Basic Plus - 25/ 3 Mbps - $107.99/ month *Includes: Caller ID, Call Waiting ID, Voice Mail Basic, Call Forwarding Busy and Call Forwarding No Answer. Calling Features and/or Long Distance may be added to Basic Plans at their regular prices. Additional Internet Options Monthly charges unless otherwise indicated Speed Up $3.99 per 1 Mbps (some restrictions apply) Speed will be * Static IP Address $6.50 per address Quantity needed? * Router Service Options * Wireless Router Service $2.00 No Thank You Will this service also be used for gaming and/or security cameras? * Yes No VOICE SERVICE MONTHLY CHARGES arrowup6 Telephone Service Monthly Charges Total BLS does not include all surcharges and taxes VOICE ACTIVATION CHARGES Simple Reconnection (no service trip) $29.10 New Line (to outside only) $60.90 Install jacks while at premise (check if yes) $24.30 Number of jacks requested * Do you wish to port your number(s)? 1 Number2 Numbers2+ Numbers Number to port (#1) * Number to port (#2) Special Calling Features -Monthly Charges (Please check all that apply) Automatic Callback $2.00 Automatic Redial $2.00 Call Forwarding $1.75 Call Forwarding-Busy $2.00 Call Forwarding-No Answer $2.00 Call Forwarding-Remote Access $2.00 Call Waiting $1.75 Direct Line/Manual Line $2.00 Distinctive Alert Call Waiting $2.50 Do Not Disturb $2.00 Do Not Disturb - Telemarketing $2.00 Selective Call Acceptance $2.00 Selective Call Forwarding $2.00 Selective Call Rejection $2.00 Speed Dialing 8 $2.00 Speed Dialing 30 $3.00 Three Way Calling $1.75 Residential Package Prices Two Features $2.50Three Features $3.50Four Feature $4.50Five Feature $5.50 You will be automatically added to the following package. ADDITIONAL FEATURES & SERVICES MONTHLY RATES Anonymous Call Rejection No Thank You50¢ with Calling Name and/or Number Feature$1.00 without Calling name and/or Number Feature Calling Name & Number Delivery $5.00 Calling Number Delivery $3.50 Voice Mail/Email $5.95 Call Waiting ID $3.00 (Must have Calling Name and/or Number Delivery) Basic Voicemail $4.95 (10 VMs @ 2mins each/5 day memory. Must have CF busy/CF No Answer) Enhanced Voicemail $8.95 (20 VMs @ 2mins each/10 day memory. Must have CF busy/CF No Answer) Find Me Ring $5.95 Colorado Valley Long Distance Rate Plans * Simple Rate .12¢ per minute Unlimited Long Distance $35.00 Monthly Simple Rate Premier $4.95 Monthly/.09¢ per minute No Thank You Minutes are anytime/anywhere in the Continental U.S. Residential Monthly Toll Denial Charges * No Thank YouToll Denial $1.75Toll Denial w/800 Access $1.75Toll Denial w/PIN $2.00 If Toll Denial w/PIN Override is selected, PIN # will be (4 digits) * Long Distance Restrictions (Please check all that apply) 900 Block (No charge) Collect Block (No Charge) 3rd Party Block (No Charge) International Block (No Charge) Maintenance Protection Plan * No Thank YouI agree to the $4.95 Monthly charge The Maintenance Protection Plan is an optional offering that provides protection from the costs associated with repairs to station wires and jacks. The plan is offered to residential customers only. DIRECTORY INFORMATION arrowup6 Would you like the telephone number published, non-published or unlisted? * PublishedNon-Published $1.00 per month chargeUnlisted Do you wish to have Caller ID per line blocking? * Yes No Caller Name ID (how name will appear to called party) * Directory Listing Name(s) * Directory Listing Address (Optional) Additional Listings (if desired) (The fee for each additional listing is 50¢ per month per listing.) Community Name * La GrangeFayettevilleSchulenburgWeimarRound TopHallettsvilleOther Community Name (Community name is necessary for directory assistance inquiry. Customers residing in CVTC exchanges may prefer to be associated with the community of La Grange for directory assistance instead of their telephone exchange.) BILL PAY OPTIONS/ADDITIONAL INFORMATION arrowup6 Monthly Payment Method * Check/Cash (Bill via U.S. Mail)Credit Card (via cvctx.com or call 844-886-9799)Automatic Bank Draft (Authorization form required)Online Bill Pay via cvctx.com Accessibility Question * Please check here if you have a hearing or speech disability or condition and that this disability/limitation prevents or limits your ability to communicate over voice networks. No Thank You Comments/Questions Captcha If you are human, leave this field blank. Submit
