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DSL (Digital Subsriber Line) High Speed Internet Application
Internet service provided by Coon Valley Cooperative Telephone
CUSTOMER INFORMATION
 *Name:
 *Street Address:
 *City:
 *State:         *Zip:
 Billing Name (if different):
 Mailing Address:
 City:
 State:         Zip:
 *Home Phone:
 Work Phone:
 FAX:
 
 *1st Requested E-Mail Address (no punctuation):       
@coonvalleytelco.com     
*2nd Requested E-Mail Address:
@coonvalleytelco.com
E-Mail Address Note:  Eight characters or less.  If yours is unacceptable or unavailable, one will be chosen for you.
 Your Social Security Number:               *Your Mother's Maiden Name (For Security):
     
Best Time for Installation or Contact (DSL only)
*Denotes Required Fields
DSL HIGH SPEED INTERNET PLAN
  $44.95 Monthly
Includes cost of equipment and
Internet subscriber charge.
DSL is available in Menlo and Nevinville.
FILTERING OPTIONS
Virus and spam Filtering Package: $3.00 per month. &nbsp Web Content Filtering: $5.00 per month.
&nbsp Combined Virus, spam & Content Filtering Package: $6.00 per month. (Best Value!)

ADDITIONAL E-MAIL ADDRESSES
You may request additional e-mail addresses, if desired.   The cost for each additional RESIDENTIAL e-mail address is $3.00/month.   The cost for each additional BUSINESS e-mail address is $5.00/month.  You may also request the Virus and spam Filtering Package, at a cost of $3.00/month for each additional e-mail.
 1st Additional E-Mail Address (no punctuation):
@coonvalleytelco.com
Virus and spam Filtering Package

 2nd Additional E-Mail Address (no punctuation):
@coonvalleytelco.com
Virus and spam Filtering Package
 3rd Additional E-Mail Address (no punctuation):
@coonvalleytelco.com
Virus and spam Filtering Package

 4th Additional E-Mail Address (no punctuation):
@coonvalleytelco.com
Virus and spam Filtering Package
Note: Eight characters or less.  If your choice is unacceptable or unavailable, one will be chosen for you.

COMPUTER SYSTEM
  MINIMUM REQUIREMENTS: WE RECOMMEND:
Modem
Memory
PC CPU
PC OS
Mac CPU
Mac OS
14.4 kb
16 MB of RAM
486
Windows 95
68040
System 7.5
56k
32 MB or More
Pentium or Higher
| Windows 98 SE
PowerPC
System 8 or Higher
CUSTOMER SERVICE AGREEMENT
I understand and acknowledge that continued use of Coon Valley Cooperative Telephone constitutes acceptance of the Terms of Service, Acceptable Use Policy and other important policies posted on Coon Valley's Website www.coonvalleytelco.com. I agree it is my responsibility to read these policies and comply fully with their terms. I further understand the policies and pricing of Coon Valley Services may change from time to time upon 30 days notice. The Service is provided on an "AS IS" and "AS AVAILABLE" BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF TITLE OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

I agree to the terms in the Customer Service Agreement.    

   If you do not agree, click this button to exit without submitting this application: 
 
 


Coon Valley Telephone Cooperative
516 Sherman Street, PO Box 108 | Menlo, IA 50164
641-524-2111 | Fax: 641-524-2112

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