Colorado Valley Fixed Wireless SignUp 11/2019 Are you interested in Fixed Wireless Internet Service or would you prefer to wait for fiber? * Yes, I'm interested No, I prefer to 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.) Primary Phone Number * Service Address * City * State (2 character initial only) * Zip Code * 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 * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Billing Zip Code * Colorado Valley will now need to pre-qualify you as a fixed wireless broadband customer. Many factors could affect our ability to serve you with quality broadband service including signal strength at your location and interference from obstructions or elevation changes. In some cases we may need to install a pole to strengthen the signal you receive, and the height of the pole needed will determine whether guy wires are also needed. If you are not in our current coverage area your interest will help us know where to build out our network next. Someone from Colorado Valley’s friendly staff will be in touch with you soon regarding your service options. INTERNET SERVICES Will this service also be used for gaming and/or security cameras? * Yes No Please choose your preferred term commitment. Note the monthly pricing is reduced for longer term commitments and the installation fees are waived. Month to Month ($199 install) 12 Mo Contract ($99 install) 24 Mo Contract ($0 install) 36 Mo Contract ($0 install) NOTE: Early termination of contracts will result in an Early Termination Fee of 75% of the remaining contract. INTERNET MONTHLY CHARGES Warning: Invalid argument supplied for foreach() in /home/cvctxcom/public_html/wp-content/plugins/checkpoint-wordpress-master/vendor/formidable-addons/class.formidable.package.php on line 243 Warning: Invalid argument supplied for foreach() in /home/cvctxcom/public_html/wp-content/plugins/checkpoint-wordpress-master/vendor/formidable-addons/class.formidable.package.php on line 247 Package *Disclaimer: Actual end-to-end throughput and speed availability may vary due to line conditions and/or other factors. Down/Up Speeds are “up to” the Mbps indicated. Speeds of 10/1 and greater include wireless router service. Applicable taxes not included. 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INTERNET MONTHLY CHARGES Warning: Invalid argument supplied for foreach() in /home/cvctxcom/public_html/wp-content/plugins/checkpoint-wordpress-master/vendor/formidable-addons/class.formidable.package.php on line 243 Warning: Invalid argument supplied for foreach() in /home/cvctxcom/public_html/wp-content/plugins/checkpoint-wordpress-master/vendor/formidable-addons/class.formidable.package.php on line 247 Package *Disclaimer: Actual end-to-end throughput and speed availability may vary due to line conditions and/or other factors. Down/Up Speeds are “up to” the Mbps indicated. Speeds of 10/1 and greater include wireless router service. Applicable taxes not included. Pole install w/o guy wires $4.95/month (12 months total) Pole install with guy wires $19.95/month (12 months total) NOTE:Early termination of contracts will result in an Early Termination Fee of 75% of the remaining contract. ADDITIONAL SERVICES OFFERED (monthly charges unless otherwise indicated) Wireless Router Service $2.00 Maintenance Protection Plan (residential) $4.95 Static IP Address $6.50 UPS (one time charge) $54.95 We are currently expanding our Fiber Network. Want more information? * Yes, I would like more information No, I prefer to wait for fiber ADDITIONAL INFORMATION Monthly Payment Method * Check/Cash Credit Card Automatic Bank Draft Online Bill Pay How did you hear about Colorado Valley Internet? * Billboard Community Event Connection Magazine Direct Mail/Post Card Email Employee Facebook Newspaper Ad Radio Ad Referred by a friend/neighbor Service Truck Web Advertisement Web Search Yard Sign Pandora Employee name * Friend/neighbor * 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. 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