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
______ Tier I with 2 static IPs

$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
______ Tier III with 2 static IPs

$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