Glow Internet, Basic TV & Voice Line

If you have any questions on our features or bundles, just give us a call at 930-9985 or 437-5551.

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Purchase Bundle - Glow Internet, Basic TV and Voice
Includes: 30Mb/3Mb, Basic channels and Voice

$89.10/month

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Agreement

12 Month Agreement - Install Fee Waived

Month to Month Agreement - $300.00 Installation

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* Customer Information

Name

Address

City/Town

Email Address

Home Telephone Number

Daytime Contact Number

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Telephone Directory Information

Name

Address

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Static IP Options

I do not need a Static IP

1 Static IP - $10.00

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Wireless Connection

Managed WiFi - $9.95/month (includes router, installation and support)

I own my own router and can set it up on my own.

I own my own router and need assistance with it. - $85.00/hour (In most circumstances, MHTC can assist with the basic configuration of a customer owned router to provide Internet access. this labor is billed at $85.00/hour with a $42.50 minimum charge.)

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TV Service questions - number of Televisions to hook-up

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Would you like to add HD Service for $4.95/month?

Yes

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Number of HD Televisions

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Would you like to add DVR Service for $11.95/month?

Yes

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If Yes to DVR - please answer the following questions

Number of TVs with DVR

Number of HD TVs with DVR

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* Our new Luminous Voice Line includes our most popular phone features and 200 minutes of long distance at no additional charge. You will have the option to enable Caller ID, Call Forwarding, Call Waiting, SimRing, Voicemail and our popular MHTC CommPortal. MHTC CommPortal allows you to login online and see all the activity that happens on your telephone line; you can listen to voicemail messages, forward your voicemail messages to your email, view your call history and manage enhanced calling features. Please check the features you would like below:

Voicemail with Voicemail to Email Feature - $0.00

Caller ID Name and Number - $0.00

Caller ID Number Only - $0.00

Call Waiting - $0.00

Call Forwarding - $0.00

CommPortal - $0.00

SimRing - $0.00

200 Minutes of Long Distance - $0.00

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* Recommended Options

Block 1-900 & 1-976 - $0.00

PIC Freeze - $0.00

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* 911 Emergency Service Information

Downstairs Apartment

Upstairs Apartment

House

Other

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* Long Distance

MHTC Long Distance

No Long Distance Carrier (Selecting “No Long Distance Carrier” will not block dial-around (10-10) services or Operator assisted calls.)

Other

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Billing Options

Online Statement

Paper Statement

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Payment Options

Standard - Check / Money Order

Automatic - Credit Card

Automatic - Checking/Savings

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* CPNI Registration - MHTC is serious about keeping your information safe. To request information on your account or to make a change to your account, we will identify you by the following:

PIN/Password

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CPNI Registration Continued - Choose TWO verification questions below for lost or stolen passwords

Favorite Teacher:

City you were born in:

Name of your best friend:

Street you grew up on:

First car you owned:

Name of first pet:

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CPNI Registration Continued - To authorize other people to inquire or make changes to your account, simply print their names below:

Name 1:

Name 2:

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* Terms and Conditions

I hereby accept the terms and conditions for Internet services from MHTC as outlined in the “Internet Terms and Conditions” located at www.mhtc.net. By my signature below I am certifying that I am 18 years of age and understand that a check of my credit history may be undertaken.

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* Purchase Bundle - Glow Internet, Basic TV and Voice Includes: 30Mb/3Mb, Basic channels and Voice

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* Agreement

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* Customer Information

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* Telephone Directory Information

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* Static IP Options

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* Wireless Connection

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* TV Service questions - number of Televisions to hook-up

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* Would you like to add HD Service for $4.95/month?

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* Number of HD Televisions

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* Would you like to add DVR Service for $11.95/month?

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* If Yes to DVR - please answer the following questions

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* Recommended Options

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* 911 Emergency Service Information

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* Long Distance

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* Billing Options

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* Payment Options

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* CPNI Registration - MHTC is serious about keeping your information safe. To request information on your account or to make a change to your account, we will identify you by the following:

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* CPNI Registration Continued - Choose TWO verification questions below for lost or stolen passwords

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* CPNI Registration Continued - To authorize other people to inquire or make changes to your account, simply print their names below:

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* Terms and Conditions

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* Online Signature

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* Comments:

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Purchase Bundle - Glow Internet, Basic TV and Voice
Includes: 30Mb/3Mb, Basic channels and Voice

*
Agreement

*
Telephone Directory Information

*
Static IP Options

*
Wireless Connection

*
TV Service questions - number of Televisions to hook-up

*
Would you like to add HD Service for $4.95/month?

*
Number of HD Televisions

*
Would you like to add DVR Service for $11.95/month?

*
If Yes to DVR - please answer the following questions

*
Billing Options

*
Payment Options

*
CPNI Registration Continued - Choose TWO verification questions below for lost or stolen passwords

*
CPNI Registration Continued - To authorize other people to inquire or make changes to your account, simply print their names below:

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Online Signature