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Powernet Internet Application
Internet service provided by Coon Valley Cooperative Telephone Association Inc.
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
WIRELESS PLANS
  $44.95 Monthly
1.5 MB
Plus $49.95 installation
  $64.95 Monthly
3 MB
Plus $49.95 installation
STANDARD INSTALLATION TERMS
Standard Installation includes installation of wireless equipment and connection to one computer. Installations that require extraordinary time or resources will be billed an additional charge. Customer will be informed of charges prior to installation. Customers requiring connection of two or more computers will be charged $75 per hour plus additional materials. Monthly service charge includes use of CVCT’s antenna and transceiver equipment. Ownership is retained by CVCT. Customer agrees to maintain service for one year.
ADDITIONAL E-MAIL ADDRESSES
Residential accounts receive 5 e-mail addresses and Business accounts receive 10 e-mail addresses. You may request additional addresses for $3.00/month for Residential and $5.00/month for Business accounts. In addition, you can activate
e-mail virus and spam filtering for $3.00/month per e-mail address
.
 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.

 
CUSTOMER SERVICE AGREEMENT
I understand and acknowledge that continued use of Coon Valley Cooperative Telephone Association Inc. 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 Cooperative Telephone Association Inc.
516 Sherman Street, PO Box 108 | Menlo, IA 50164
641-524-2111 | Fax: 641-524-2112

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