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Service Order Form
(Please fax the completed form to us at 713-787-0675)

Choose Package  
Services Selection
Rates
Nationwide dialup connectivity with 250 hours per user per month
Enhanced Network ($5.50/ mo.) OR Premium Network ($5.20/mo.)
Minimum accounts per month:
Private Realm
(* Please Indicate what realm you will be using EX. username@____________.com)
Included
Email(s) per user account with MB capacity
POP+web-based email. The email accounts will include our antivirus protection and basic spam protection.
1 Email Included ($0.25/additional email).
ISP Administrative Console
The Console gives you complete control on your service. Capabilities include management of user accounts, optional automatic billing with process automation and real time access to usage reports.
Included
Automatic Billing  Standard OR Flexible ($55 setup)
Customer will create an account with Authorize.net to set up Automatic Billing.
Standard Billing Included
Consumer software
DUN Configuration Software Included
Dialer Included
Browser $100 setup
Internet Accelerator (provided by SlipStream) $1.50 per user
Web Portal $75 setup
User Links for Customer’s website
 
a. Access Numbers link
Included
b. User Login link
Included
c. User Registration Setup (with Automatic Billing only)
Included
Technical Support to VISP
 
a. Phone support during normal business hours
Included
b. Live Chat
Included
c. Trouble Ticketing
Included
Other Services
 
Domain Registration - 1yr. complementary with website design
$15/yr
Website Hosting – 3 months complementary with web design
$15/mo.
Website design
$500


1. Customer will be charged a setup fee of $99 at the time of placing the order. The setup fee is non-refundable.

This is a Service Order by Customer for ModemPops to supply the above selected services whereby Customer agrees to purchase the above-selected ( ) services from ModemPops
All ModemPops services are provided under the terms of the ModemPops Service and License Agreement.


Customer  
Signature
____________________________________
Company
Name
Date

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