Service Type Services Internet Business Name
Customer Name*
First
Last
Phone*
Service Address*
Billing Address (If applicable)
Same as Service Address
Email*
How did you hear about us? Yelp Google Neighbor/Friend Facebook Nextdoor Other
How did you hear about us details
Internet Pricing Speeds Available Speeds Available Speeds Available Speeds Available Plan Details
Plan Cost
Speed Discount? Speed Discount Amount
Need a Static IP? Amount of Static IPs Required
$15 per IP monthly
Internet Term Length Terms Monthly Agreement Installation: $149
No contract (month to month)
Antenna: Free
Router Required (not included) you may provide your own (standard WiFi Router only) or we will provide a router for $99.99.
Two Year Agreement Installation: Free (Free installation not available for custom installations)
Two year contract
Antenna: Free
Router Required (not included) you may provide your own (standard WiFi Router only) or we will provide a router for $99.99.
Early Termination Fee
If your installation requires special equipment please choose the option which you were quoted. If our quote included the “Professional Installation $299” or the “Custom Installation” this is what you will pay for the installation regardless if you sign up for the month to month or a 2 year agreement. $
Installation Discount? Installation Discount Amount
Equipment Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Discount? Equipment Discount Amount One Time
Equipment Discount Amount Monthly
Managed Router Service Includes:
-Setup LAN IP addresses.
-Assign STATIC IPs as needed for printers, servers, and other devices.
-Setup firewall policy.
-Setup 5 Client VPN tunnels (for offsite users that need to work remotely).
-Upgrade firmware as needed.
-Offsite management & monitoring of router and network.
-Replace router as needed.
Landlord Permission* Landlord Permission Form Please Upload Landlord Permission Form* Internet Cost Monthly Bill
One Time Fee
First Bill (includes one time fees)
Skywire Residential Skywire Term Agreement Term Length Speeds and Pricing Custom Skywire Speed
Custom Skywire Speed Cost
Speed Discount? Speed Discount Amount
Equipment Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Discount? Equipment Discount Amount One Time
Equipment Discount Amount Monthly
Untitled
Business Skywire Term Agreement Term Length Speeds and Pricing Custom Skywire Speed
Custom Skywire Speed Cost
Speed Discount? Speed Discount Amount
Installation fee Custom Installation Cost
Installation Discount? Installation Discount Amount
Equipment Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Discount? Equipment Discount Amount One Time
Equipment Discount Amount Monthly
* Managed Router Service Includes:
Skywire Cost Monthly Bill
One Time Fees
First Bill (includes one time fees)
Cable Cable Term Agreement Term Length
Early Termination
Service is month to month, there are no penalties for early termination
Speeds and Pricing Speeds and Pricing Cable Speed
Cable Price
Speed Discount? Speed Discount Amount
Static IP? Cable Modem Installations Custom Installation Amount
Installation Discount? Installation Discount Amount
Construction Build-out
One time build-out cost to bring cable internet to customers facility.
Equipment Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Discount? Equipment Discount Amount One Time
Equipment Discount Amount Monthly
Managed Router Service Includes:
-Setup LAN IP addresses.
-Assign STATIC IPs as needed for printers, servers, and other devices.
-Setup firewall policy.
-Setup 5 Client VPN tunnels (for offsite users that need to work remotely).
-Upgrade firmware as needed.
-Offsite management & monitoring of router and network.
-Replace router as needed.
Cable Cost Monthly Bill
One Time Fees
First Bill (includes one time fees)
FiOS FiOS Monthly Agreement Dynamic or Static Term Length Month to Month Speeds and pricing Speeds Available as fast as Speeds Available as fast as 1 Year Speeds and Pricing Speeds Available as fast as Speeds Available as fast as Includes 1 Static IP
Custom Fios Speed
Custom Fios Speed Cost
Speed Discount? Speed Discount Amount
Static IPs Month to Month Installation One Year Installation Installation Discount? Installation Discount Amount
Installation Information:
Installation is usually booked 2-3 weeks out. Installation appointment is usually a 4 hour window and install can take anywhere from 1-3 hours. Installation is conducted by a AT&T technician followed by a Mitec technician to make sure wifi network is set up properly.
Equipment Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Discount? Equipment Discount Amount One Time
Equipment Discount Amount Monthly
FiOS Cost Monthly Bill
One Time Fees
First Bill (includes one time fees)
Asymmetric Ethernet Asymmetric Ethernet Term Length 1 Year Agreement Speeds Available as fast as 2 Year Agreement Speeds Available as fast as Custom Asymmetric Ethernet Speed
Custom Asymmetric Ethernet Speed Cost
Speed Discount? Speed Discount Amount
Static IPs One Year Installation* Service installation only includes modem install.
Subscriber router setup and configuration billed at current onsite rates.
Two Year Installation* Service installation only includes modem install.
Subscriber router setup and configuration billed at current onsite rates.
Installation Discount? Installation Discount Amount
Installation Information:
Installation is usually booked 30 days out. There will be a total of 4 appointments. First appointment GTT technician goes out to make the site live. Second appointment AT&T technician goes out to make line active. Third appointment GTT technician goes out to finish Internet install, last appointment is for Mitec technician to come out to make sure wifi network is set up properly. Installation is usually a 4 hour window for each appointment and they can take anywhere from 1-3 hours.
Equipment Modems must be returned to Mitec office upon service termination within 30 days.
Unreturned modems will be charged $249 to subscriber's account.
Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Discount? Equipment Discount Amount One Time
Asymmetric Cost Monthly Bill
One Time Fees
First Bill (includes one time fees)
LTE LTE Monthly Agreement LTE Service Speeds Available Unlimited Data Plan subject to fair usage of
TMobile LTE Unlimited Plan: may be slower at certain times of the day. Slow speeds are from 1mb-5mbs and speed will return once cell tower congestion has been reduced.
ATT Speeds Available AT&T LTE 200GB Plan: AT 20Mbs. 20mbs speed cap up to 200GB. Slower speeds occur after allotment has been used in a monthly data cycle. Slow speeds reduce to 3Mbs DL/UP.
AT&T LTE 400GB Plan: AT 400GB. No Speed Cap up to 400GB. Slower speeds occur after allotment has been used in a monthly data cycle. Slow speeds reduce to 10Mbs DL/UP
AT&T LTE Unlimited Plan: AT Unlimited. may be slower at certain times of the day. Slow speeds reduce to 10Mbs DL/UP and speed will return once cell tower congestion has been reduced.
Verizon Speeds Available Custom LTE Speed
Custom LTE Speed Cost
Speed Discount? Speed Discount Amount
Installation Installation Discount? Installation Discount Amount
Installation Information:
Installation is usually booked 1-2 days out unless equipment needs to be ordered. Installation can take anywhere from 1-2 hours. Technician will need access to interior of the building.
WiFi Router Modem Equipment Details (One Time Fee)
Equipment Cost (One Time Fee)
Equipment Details (Monthly)
Equipment Cost (Monthly)
Equipment Discount? Equipment Discount Amount One Time
Unlimited Data Plan subject to fair usage of 50GB then may be slower at certain times of the day. Slow speeds are from 1MB-5MBS and speed will return once cell tower congestion has been reduced. Unlimited Data Plan subject to fair usage AT&T LTE 100GB Plan: AT 10Mbps. 10mbs speed cap up to 100GB. Slower speeds occur after allotment has been used in a monthly data cycle. Slow speeds reduce to 1-3Mbs DL/UP.
AT&T LTE 200GB Plan: AT 20Mbs. 20mbs speed cap up to 200GB. Slower speeds occur after allotment has been used in a monthly data cycle. Slow speeds reduce to 3Mbs DL/UP.
AT&T LTE 300GB Plan: AT Unlimited 300GB. No Speed Cap up to 300GB. Slower speeds occur after allotment has been used in a monthly data cycle. Slow speeds reduce to 5Mbs DL/UP.
AT&T LTE 500GB Plan: AT Unlimited 500GB. No Speed Cap up to 500GB. Slower speeds occur after allotment has been used in a monthly data cycle. Slow speeds reduce to 10Mbs DL/UP
LTE Cost Monthly Bill
One Time Fee
First Bill (includes one time fees)
LTE Failover Agreement Speeds Available Unlimited Data Plan subject to fair usage of 50GB then may be slower at certain times of the day.
Slow speeds are from 1MB-5MBS and speed will return once cell tower congestion has been reduced.
Custom LTE Failover Speed
Custom LTE Failover Speed Cost
Speed Discount? Speed Discount Amount
Disclaimer:
The Internet Failover will increase your Internet Uptime to 99.99%.
The Internet must be out for 20 seconds before the switch-over takes place. When the primary Internet comes back online the switch-over will be instantaneous. In the event of VOIP calls, or other live Internet traffic, service may be disrupted briefly during the switch-over. The failover Internet does not include a static IP so incoming traffic may be limited (depending on your setup).
Installation Includes 2 hours of install time @ $120/hr
Custom Installation Cost
Installation Discount? Installation Discount Amount
WiFi Router Custom Router
Custom Router Cost
Modem Custom Modem
Custom Modem Cost
Equipment Discount? Equipment Discount Amount One Time
LTE Failover Cost Monthly Bill
One Time Fees
First Bill (includes one time fees)
Custom Agreement Type Product Name
Speed
Monthly Price
Installation Price
Hardware Price
Custom Cost Monthly Bill
One Time Fee
First Bill (includes one time fees)
VoIP Services Business VoIP Elevated VoIP Monthly Agreement Total Users and Phones
Unified Communication Service - Monthly Rate Elevate User Discount Elevate User Discount Amount
Phone Hardware For Month to Month service agreement, phone hardware must be purchased from Mitec unless using BYOP.
Phone Description
Phone Cost
Installation Rough Labor Total
Add-on Services Toll Free Number Porting Amount
Additional Auto Attendant Quantity
Additional WebFax Quantity
Unlimited Fax Quantity
Business Toll Free Minutes
Business Toll Free Minutes Cost
Monthly Usage Average
Local Add-on Number Quantity
Local Number Porting Amount
Phone Taxes and other Fees
Phone Taxes and other Fees Discount
One Time Fees Discount
Sales Info Referral
Sales Rep
Installation Agreement Download Local Porting Authorization Form
Download Toll Free Porting Authorization Form
Please complete, sign, and upload Authorization Form.
Upload Current Phone Bill Upload Port Authorization Form Elevated VoIP Cost Monthly Bill
One Time Fee
First Bill (includes one time fees)
Total Cost Monthly Bill
One Time Fee
First Bill (includes one time fees)
Terms and Conditions By requesting services from Mitec Solutions, LLC (hereafter “Mitec Solutions”), I agree to the following terms
and conditions (the “Agreement”):
Current Rates
Remote labor is billed at $95/hr with a 30 minute minimum charge.
In store labor is billed at $75/hr with a 1 hour minimum charge.
On site labor is billed at $95/hr to $120/hr with a 1 hour minimum charge.
Emergency Rates for regular business hours are $149/hr with a 1 hour minimum charge.
Mitec Solutions labor rates listed above are for regular business hours only, and are subject to change without notice and updated rates are available to view at http://mitec.net/rates
Release of Liability
By initiating a service call, (in-store, on-site, over the phone, or remotely), including all future service, support, or repair, I acknowledge that support services provided by Mitec solutions may result in the malfunction of certain programs or functions of my personal computer, servers, business machines, networking equipment, smart (or internet connected) devices, peripherals, or any other device or object and that this may occur through no fault of Mitec Solutions. Knowing and understanding the risk of accepting the support services of personnel of Mitec Solutions I affirmatively forever release and hold harmless Mitec Solutions, it’s owners, employees, contractors, and vendors against any loss, liability, or damage that I or the owner or lessee may suffer including, but not limited to, the loss of any data, virus infection, security breach, or the non-functioning of any component or element of my computer equipment, network equipment, device, or peripherals regardless of any warranties, disclaimers and waivers. Furthermore, I agree in advance to release, waiver, forever discharge, and covenant not to sue Mitec Solutions, any of it’s employees, officers, or agents from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature that may result from support services performed by Mitec, including any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature that may result from negligence by Mitec.
Attorney Fees, Governing Law, and Jurisdiction.
In any litigation, arbitration, or other proceeding by which one party either seeks to enforce its rights
under this Agreement (whether in contract, tort, or both) or seeks a declaration of any rights or obligations under this Agreement, the prevailing party will be awarded reasonable attorney fees, together with any costs and expenses, to resolve the dispute and to enforce the final judgment.
This Agreement is governed by and construed in accordance with the laws of the State of California without regard to its conflict of laws principles. The parties agree that the jurisdiction and venue of any action brought pursuant to this Agreement properly lies in the state or federal courts located in County of Ventura, State of California. Customer hereby irrevocably submits himself, herself, or it to the jurisdiction of the Courts of the State of California, Ventura County and the jurisdiction of the United States District Court for the Central District of California for the purpose of any suit, action or other proceeding arising out of or related to this Agreement. Independent Customer hereby waives and
expressly agrees not to assert, in any way, any claim or allegation that it is not personally subject to the jurisdiction of the courts named above. Customer further agrees to waive any claim or allegation that the suit, action, or proceeding is either brought in an inconvenient forum or that the related venue is improper.
Billable Labor and Warranty
All labor, including drive time, research, phone support, Email support, technical support and all other time spent on client’s behalf for any reason is billable at our applicable current hourly rates. Estimates are not guarantees and are subject to change due to additional issues discovered during troubleshooting or installation. Not all issues will be resolved during the first attempt and additional follow-up labor may be required and will be billed accordingly. Mitec Solutions does not guarantee the compatibility of any software or hardware and additional labor will be charged to troubleshoot and/or resolve conflicts and other technical issues as they arise.
On-Site labor comes with no warranty. Remote labor comes with no warranty. In-Store labor comes with a 7-day warranty. Hardware purchased from Mitec Solutions comes with a 30-day warranty, unless otherwise stated on applicable invoice. Mitec Solutions can assist with manufacturer warranty repair or replacement on client’s behalf and charge our normal hourly rate plus shipping costs.
Term of Agreement
This agreement, including all rates, rate increases, terms, and release of liability is ongoing forever and applies
to any and all future labor requests including in-store, on-site, over the phone, emergency or remote.Term of Agreement * * * * WiFi and Internet Speed and Fair Usage Guidelines
All advertised speeds are “Up To” speeds when connected directly to modem/router via a hardwired Ethernet cable. Due to WiFi anomalies, such as radio interference, building construction, size of building, device limitations, and other variables WiFi speeds may not achieve the maximum bit rate. A standard WiFi router at cover approx 1200 Sq. Ft. but is not guaranteed. WiFi is considered a luxury; any critical device should be hard-wired to the router for the most reliable service possible. Additional equipment may be required to resolve WiFi issues and is billed at our applicable rate. The Internet service is a best-effort service, meaning speeds are not guaranteed and may fluctuate due to network congestion during peak usage. Mitec will make all possible efforts to ensure speeds are consistent and will perform upgrades as necessary to maintain a high level of quality. Mitec reserves the right to limit or block network traffic which is negatively impacting the speed of the network, including but not limited to, blocking/limiting illegal websites, torrents, or other file-sharing networks used to share illegal content, or otherwise degrading the quality of service. All network priority will be given to websites, video streaming services, VOIP services, and other “normal” Internet traffic as determined by Mitec. “Abnormal” Internet traffic may be limited at any time at the discretion of Mitec if it is determined detrimental to the quality of the service.
* * By Signing Below I indicate that I have read and agree to all terms and conditions.* Referred by
First
Last
Date IP