ADSL ORDER FORM
Customers Name:___________________________________________
Contact Number:_______________________
Email Address: _________________________________________ Service for:
Residential _______ Business_______
Physical address____________________________________________:____________________________________
Shipping Address: (if different from above, No P.O. Boxes): ____________________________ $9.95 Shipping
& Handling
____ Install new telephone line for ADSL ____ Add ADSL service on existing phone line:_____________________
ADSL with Alltel Internet – monthly |
ADSL with NET STAR |
Download/Upload |
||
|
_ ______ DSL Lite |
$24.95 |
______ N/A |
256K/128K |
|
|
______ Tier I |
$29.95 $49.95 |
______ Tier I with Static IP |
$29.90 |
1.5M/384K |
|
______ SDSL with 2 Static IPs |
$99.95 |
______ SDSL with Static IP |
$99.90 |
512K/512K |
|
______ Tier III |
$34.95 $69.95 |
______ Tier III with Static IP |
$33.90 |
3.0M/384K |
|
______ Tier III + with 2 static IPs |
$179.95 | ______ Tier III + with Static IP | $179.90 | 3.0M/768K |
MY INTERNET SERVICE
PROVIDER IS _
_
NetStar Communications 281/240-7300
support@nstci.com
|
PC Requirements: Hardware: ** Pentium compatible 133 MHz or faster ** 10 Base T Ethernet Network card, 802.11x wireless card or available USB port ** DSL modem (provided by Alltel) ** 32 MB of RAM or higher (64MB recommended) ** Minimum 50 MB of free hard drive space |
Software: ** Windows 98 or higher operating system ** Macintosh 7.6 or higher operating system ** Web Browser (Internet Explorer 5.5, Netscape 4.7, Firefox 1.0 or higher recommended) |
| ____ | I would like to have my ADSL service installed by a technician. I understand there is a charge of $49.95 for this service. | ||
| ____ |
I agree to keep DSL service for 1 year. Please waive all activiation and modem kit fees. For terms and conditions visit www.alltel.com |
||
| ____ | I do not want to sign a one year contact for the ADSL service. | ||
| ____ |
Tier I static, Tier III static, SDSL, Tier III + |
$99.95 DSL Activation Fee, $200 Static IP Activation Fee, $99.95 Modem Kit | |
Will you be connecting more than one computer? _____ No _____ Yes, If yes, how many computers? _____
**If yes, please see additional equipment listed below.
Additional equipment that can be purchased through ALLTEL
| _____ | LinkSys BEFW11S4 802.11b wireless/ 4-port wired 10/100 Gateway router / switch | $49.95 | ||
| _____ | LinkSys WRT54G 802.11g wireless / 4-port wired 10/100 Gateway router/switch | $69.95 | ||
| *** For each computer being networked you will need a NIC card? | ||||
| _____ | LinkSys WMP11 PCI 802.11b wireless (for desktop computer) | $59.95 each | ______ quantity? | |
| _____ | LinkSys WPC11 PCMCIA 802.11b wireless (for laptop computer) | $59.95 each | ______ quantity? | |
| _____ | LinkSys WMP54G PCI 802.11g wireless (for desktop computer) | $69.95 each | ______ quantity? | |
| _____ | LinkSys WPC54G PCMCIA 802.11g wireless (for laptop computer) | $69.95 each | ______ quantity? | |
| _____ | LinkSys LNE100TX wired 10/100 PCI NIC (for desktop computer) | $24.95 each | ______ quantity? | |
| _____ | Efficient 2501 Powerline USB Adapter | $69.95 | ||
| _____ | Efficient 2502 Powerline Ethernet Adapter | $69.95 | ||
| _____ | Efficient 5930 business router (mainly for Static IP) | $329.95 | $100 credit w/ 1 year contract | |
| _____ | Cisco 837H business router | $399.95 | $99.95 credit w/ 1 year contract | |