Centranet Protect Sign Up Form

Name on Account*

First NameLast Name

Account Number

Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

I understand and agree to the following:*

I understand an additional $8.00 will be added to my monthly Centranet bill for a minimum of 12 months and will continue thereafter until I cancel my Centranet service or my Centranet Protect subscription.I understand that I am obligated to have the Centranet Protect service for a minimum of 12 months.I understand that I can cancel my Centranet Protect subscription at any time, however, I am responsible for paying the remaining balance if I cancel before the initial 12 months have expired.I understand that if my service is permanently disconnected for nonpayment before the initial 12 months have expired, I will be responsible for the remaining months of this 12-month contract.I understand Centranet Protect covers service visits by Centranet technicians for the diagnosis and repair of wiring and equipment from the NID on the side of my home to my modem and router located inside my home.I understand that Centranet is not and will not be liable for any damages (including indirect, incidental, punitive, or consequential damage of any kind) arising from work performed under Centranet Protect.I understand Centranet makes no warranties, express or implied, under Centranet Protect and specifically disclaims any warranty of merchantability or fitness for a particular purpose.I understand Centranet Protect is in addition to and not in lieu of Centranet’s standard Terms and Conditions. Other restrictions may apply.

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