Colorado Valley Fiber Speed Change 6/2019 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 Fiberhood Phase * 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 Community Event Direct Mail Facebook Employee Service Truck Referred by friend/neighbor Web Advertisement Billboard Radio Ad Newspaper Ad Web Search Connection Magazine Yard Sign Other Friend/neighbor * Employee name * Pick your internet option! Are you interested in.. * Adding New Service Upgrade your existing Choose your service type Bundle (Phone + Internet, requires 36 Month Contract) Individual (Internet only) Choose your service type Phone & Internet Internet only Please choose your preferred term commitment. Note the monthly pricing and installation fee are reduced for longer term commitments. * 36 Mo Contract $199.00 Install Fee12 Mo Contract $199.00 Install FeeMonth To Month $499.00 Install Fee Please choose your preferred term commitment. Note the monthly pricing is reduced for longer term commitments and the installation fees are waived. * 36 Mo Contract $199.00 Install Fee Choose Your Service! Bundle (Phone + Internet) Internet only INTERNET PACKAGES VOICE & INTERNET BUNDLES CVC Complete Fiber $107.99/mo: 20/10 Mbps with Unlimited Local & Long Distance Calling with Many Features CVC Complete Plus Fiber $147.99/mo: 50/10 Mbps with Unlimited Local & Long Distance Calling with Many Features Would you like to port your current phone number? Yes No Thank You Number to be Ported: INTERNET MONTHLY CHARGES - 12 MONTH PRICE LOCK 500/500 Mbps - $70.00/month 1 Gbps/1 Gbps - $90.00/month 2 Gbps/2 Gbps - $170.00/month *Note - All packages require an additional nonrecurring install fee of $80. INTERNET MONTHLY CHARGES - 36 MONTH PRICE LOCK 500/500 Mbps - $50.00/month 1 Gbps/1 Gbps - $70.00/month 2 Gbps/2 Gbps - $150.00/month *Note - All packages require an additional nonrecurring install fee of $80. INTERNET MONTHLY CHARGES * 20/ 10 Mbps - $89.99/ month 50/ 10 Mbps - $129.99/ month 50/ 50 Mbps - $149.99/ month 100/ 100 Mbps - $159.99/ month 500/ 500 Mbps - $179.99/ month 1/ 1 Gbps - $209.99/ month *Note - Early termination of contracts will result in an Early Termination Fee of 75% of the remaining contract. INTERNET MONTHLY CHARGES * 20/ 10 Mbps - $69.99/ month 50/ 10 Mbps - $109.99/ month 50/ 50 Mbps - $129.99/ month 100/ 100 Mbps - $139.99/ month 500/ 500 Mbps - $159.99/ month 1/ 1 Gbps - $189.99/ month *Note - Early termination of contracts will result in an Early Termination Fee of 75% of the remaining contract. INTERNET MONTHLY CHARGES * 20/ 10 Mbps - $99.99/ month 50/ 10 Mbps - $139.99/ month 50/ 50 Mbps - $159.99/ month 100/ 100 Mbps - $169.99/ month 500/ 500 Mbps - $189.99/ month 1/ 1 Gbps - $219.99/ month VOICE & INTERNET BUNDLE - Minimum 36 month Contract Required * CVC Complete Fiber - 20/ 10 Mbps - $107.99/ month CVC Complete Plus Fiber - 50/ 10 Mbps - $147.99/ month CVC Basic Fiber - 20/ 10 Mbps - $87.99/ month CVC Basic Plus Fiber - 50/ 10 Mbps - $127.99/ 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 Router Service Options * Standard Wireless Router- $0 (only available with 500 Mbps and 1 Gbps plans) Enhanced Coverage Wireless Router- $9.95 (Required for 2 Gbps plan and optional for other plans) No Thank You Both routers offer Wi-Fi 6 technology; the Enhanced Router allows households to connect more devices wirelessly with increased efficiency and optimized coverage. Up to $150 per device if the Enhanced Router is not returned. 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 Telephone Service Monthly Charges - Residential Basic Local Service 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 One Voice Line $99 Two or More Voice Lines $199 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 - Telemarketing $2.00 Selective Call Rejection $2.00 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 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) Voice Mail/Email $5.95 Colorado Valley Long Distance Rate Plans * Simple Rate .12¢ per minute Simple Rate Premier $4.95 Monthly/.09¢ per minute Unlimited Long Distance $35.00 Monthly 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 Submit
