Service Selection Form
311 Village Drive, PMB 3030
Tamarack, Idaho 83615
Phone# 208.325.1300
Fax# 208.325.1991
Packaged Service Options
________________________________________________________________________________
Basic Combo Package:
Use of one Voice Over IP (VOIP) phone and phone service, Premium TV Channel Package, Fiber-fast Internet Access and analog line
(for fax or security monitoring, if needed).
Please check to have the analog line installed during initial installation.
Installation
Monthly Service
$ 49.99
$ 139.99/month
OR
A la Carte Services and Popular Options*
Fiber-fast Internet Only
$49.95/month
Wireless Access Point
$150.00
Includes Wireless Wifi device and free installation
Requested Password:_____________
Premium TV Channel Package Only
TV Set-Top Box for HD TV Channels:
$49.95/month
Quantity: _____
$14.99/month
Includes free installation
VALUE BUNDLE: 3 Set-Top Box - HD Channels: Quantity: ______
3 for $34.99/month
Full feature Telephone Use of one Voice over IP (VOIP) phone and phone service
$44.95/month
.
Analog Telephone line (fax, security, etc.)
$44.95/month
* A la Carte installation is $29.99 per service or $49.99 for multiple services per order.
Additional Service and Product Options
_______________________________________________________________________________
Additional VOIP Phone
Quantity: ______
$24.00/month
Quantity: ______
$24.00/month
Use of one Voice over IP (VOIP) phone and phone service.
Additional Analog Line
500VA UPS – Keeps your VoIP phone operations during a power outage.
$119.00
8 Port Network Switch (POE power supply for up to 4 VOIP phones)
$150.00
16 Port Network Switch (POE power supply for up to 8 VOIP phones)
$250.00
Public Fixed IP Address
$4.95/month
Purchase includes installation
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311 Village Drive, PMB 3030
Tamarack, Idaho 83615
Phone# 208.325.1300
Fax# 208.325.1991
Security Service Options
________________________________________________________________________________
Security Monitoring Services
One-time Installation Fee:
Standard Monitoring Package (includes Analog line)
$99.00
$69.99/month
24/7/365 response to security and fire alarms in your home
Premium Monitoring Package (includes Analog line)
$74.99/month
24/7/365 response to security and fire alarms in your home
Plus daily testing of connectivity to the security panel of your home
Standard Monitoring
Premium Monitoring
$29.99/month
$34.99/month
Tamarack Property___________________________________________________________
(Street Address, Please Print)
Billing Information
Name: __________________________________________Phone#:_________________________
Billing Address: ___________________________________________________________________
City: ____________________ State: _________ Zip: __________ Country: _________________
Birth Date: ____________________
Social Security Number: ___________________________
Email Address: _______________________________________________ Invoice Preference: Email / Mail
Do you own additional property at Tamarack? If so, what is the name on the account and do you
want them separated?_________________________________________________________________________________
Do you work with a Property Manager/Property Management Company?
Name and phone number_______________________________________________________________________________
If not, how can we access the home during installation? (key code, Security, etc.) ________________________________
If hooking up telephone, do you want your number published in McCall/Donnelly phonebook?_______________________
I understand that this service is month to month until cancelled. All equipment provided by TVT must be returned
immediately upon cancellation of service. Failure to return equipment will result in additional charges to my
account. Minimum of one month of service is required.
Customer Signature
Sign Date
Service Start Date
Prices subject to change
revised 8/04/14
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