Fiber Internet
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100/100 Mbps
500/500 Mbps
1 Gig/1 Gig
Router Options
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$4.99/month - Rent
$124.99 - Buy
Phone
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Yes
No
How many phone/fax lines?
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Do you need an Static IP?
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Yes
No
Do you have an IT group?
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Yes
No
What are your business hours?
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Heads up: Installation may be aerial or buried underground.
If installation requires an underground drop, your installation will take a little longer for us to deliver services. Discuss this with your customer service representative so they can schedule enough time for installation. We want to do everything we can to efficiently give you the best possible service.
Preferred form of Communication
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Phone
Text
Email
Preferred day of installation
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Monday
Tuesday
Wednesday
Thursday
Friday
No Preference
Preferred time of installation
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Morning
Afternoon
No Preference
Comments
How did you hear about us?
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Postcard
Newspaper Ad
Online Ad
Word of Mouth
Facebook
Referral
Billboard
TV
Promo Code
Referred By
Pinpoint Customer Information
Business Name
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Contact Name
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Contact Phone #
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Email Address
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Physical Address
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City
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State
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Zip Code
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Is your billing/mailing address the same as your physical address?
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Yes
No
Billing/Mailing Address
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City
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State
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Zip Code
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Important Customer Notice:
The FCC has implemented new rules to protect the privacy of information contained on your account with Pinpoint Communications. The new rules allow us to discuss account information only with the person(s) listed on the account. We must be able to authenticate that person and will do that by asking a specific question to which you have previously provided us with the answer. Although we have always treated your account information with confidentiality, please help us in our efforts to further ensure that we protect your information by completing the following:
Question for authentication: In what city were you born?
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If your account is listed only in your name, you might want to consider adding another name if appropriate. If you are a parent or individual that relies on someone else to discuss account changes, payments or anything else with our company, you will need to have that person's name added to your account. This person does not need to be added to the billing name but can be added to our records as an authorized person for discussing information and making changes to your account. Please keep in mind that if you do request an additional name on your account or as a designated contact, they will need to be aware of your answer to the authentication question.
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No, I don't want to add any additional authorized contacts to my account.
Yes, I would like to add the following authorized contacts to my account: (phone number is optional)
Second Authorized Full Name
Second Authorized Phone Number
Third Authorized Full Name
Third Authorized Phone Number
Authorized by
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Date
*
/
Month
/
Day
Year
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