Master Form Information Master Form - Information Section BreakDo your lights match this: Power light- solid green Internet light (globe icon)- solid green or green flashing WAN light- flashing green or flashing amber LAN light- flashing greenDo your lights match this:Do your lights match this: Yes No They Said YES! They Said NO! Section BreakDo your lights match this: Power light- solid green Internet light (globe icon)- solid green or green flashing WAN light- flashing green or flashing amber LAN light- flashing green First Choice Second Choice Third Choice Customers Email <br /> test Customer Name Service Type Business Residential Business Rural Residential Rural Other Services Internet Voip Phone Service InternetInternet Types Available Wireless Skywire Cable FiOS Asymmetric Ethernet LTE Other Wireless PricingBusiness Wireless Speeds Available 10 x 10 Mbps - $69.99 20 x 10 Mbps - $99.99 30 x 10 Mbps - $139.99 50 x 10 Mbps - $189.99 Residential Wireless Speeds Bronze - 10 x 1 Mbps - $39.99 Silver - 20 x 5 Mbps - $49.99 Gold - 30 x 7 Mbps - $59.99 Speeds Available 10 x 1 Mbps - $69.99 10 x 10 Mbps - $299.99 20 x 3 Mbps - $139.99 20 x 5 Mbps - $189.99 15 x 2 Mbps - $99.99 20 x 10 Mbps - $349.99 30 x 10 Mbps - $399.99 50 x 10 Mbps - $449.99 Speeds Available 6 x 1 Mbps - $69.99 10 x 1.5 Mbps - $99.99 15 x 2 Mbps - $149.99 25 x 5 Mbps - $199.99 Static IP address: $15 per month 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: $149 Profesional Installation: $299 Custom Installation: $299 (if you require specialized equipment) Residential Skywire Term AgreementTerm Length 2 year agreement 3 year agreement (5% discount given per month) Speeds and Pricing SkyWire Residential- 50Mbps X 50Mbps- $50.00 Speeds and Pricing SkyWire Residential- 50Mbps X 50Mbps- $47.50 Equipment I will use my own router ($0.00) I would like Mitec to install a new router ($79.99) I would like Mitec to install a managed router* ($9.99 per month) I will need a Repeater installed, my coverage area is larger than 1200 sq. ft. ($4.99 per month) Skywire Two Year Agreement Speeds Available “Bronze” 100Mbps X 100Mbps- $179.99 per month “Silver” 150Mbps X 100Mbps- $249.99 per month “Gold” 200Mbps X 200Mbps- $299.99 per month Skywire Three Year Agreement Speeds Available “Bronze” 100Mbps X 100Mbps- $170.99 per month “Silver” 150Mbps X 100Mbps- $237.99 per month “Gold” 200Mbps X 200Mbps- $284.99 per month Installation fee Business Installation $149 Equipment Customer will use their own router, this means customer will be responsible for configuring and maintaining ($0.00) Customer will use Mitec’s Managed Router Service* ($49.99 per month) Cable Term AgreementTerm Length Monthly Speeds and Pricing Business Internet Plus: Speed: 100x10 Price: $129.99 Business Internet Pro: Speed: 200x15 Price: $189.99 Business Internet Max: Speed: 300x20 Price: $299.99 Custom Cable Speed Cable PriceCable Modem Installation Cable Modem Installation: $199.00 Custom Installation Custom Installation AmountConstruction Build-outOne time build-out cost to bring cable internet to customers facility.Router Required (not included). You may provide your own (standard WiFi Router only) or we will provide a router for $99.99. I need a static IP address: $19 per month I need a WiFi Router: $99.99 FiOS AgreementDynamic or Static Dynamic Static Term Length Month to Month 2 Year Month to Month Speeds and pricingSpeeds Available as fast as 25 x 25 Mbps - $89.99 50 x 50 Mbps - $109.99 75 x 75 Mbps - $129.99 150 x 150 Mbps - $189.99 300 x 300 Mbps - $249.99 500 x 500 Mbps - $349.99 Speeds Available as fast as 25 x 25 Mbps - $99.99 50 x 50 Mbps - $119.99 75 x 75 Mbps - $149.99 150 x 150 Mbps - $199.99 300 x 300 Mbps - $259.99 500 x 500 Mbps - $359.99 Month to Month Installation $399 2 Year Speeds and PricingSpeeds Available as fast as 25 x 25 Mbps - $74.99 50 x 50 Mbps - $94.99 75 x 75 Mbps - $114.99 150 x 150 Mbps - $174.99 300 x 300 Mbps - $234.99 500 x 500 Mbps - $334.99 Speeds Available as fast as 25 x 25 Mbps - $89.99 50 x 50 Mbps - $109.99 75 x 75 Mbps - $139.99 150 x 150 Mbps - $189.99 300 x 300 Mbps - $249.99 500 x 500 Mbps - $349.99 Includes 1 Static IPTwo Year Installation $249 Static IPs 5 IP's - $19.99 13 IP's - $39.99 29 IP's - $69.99 Modem Router Modem Rental - $11 per month Modem Purchase - $189.99 I have my own compatible modem Equipment needed for internet connectivity.Asymmetric EthernetTerm Length 1 Year 2 Year 1 Year AgreementSpeeds Available as fast as 8 x 1 Mbps - $99.99 10 x 1 Mbps - $104.99 10 x 2 Mbps - $109.99 10 x 5 Mbps - $114.99 15 x 1 Mbps - $114.99 20 x 1 Mbps - $119.99 20 x 2 Mbps - $124.99 20 x 5 Mbps - $129.99 30 x 2 Mbps - $134.99 50 x 5 Mbps - $139.99 One Year Installation* $299 Service installation only includes modem install. Subscriber router setup and configuration billed at current onsite rates.2 Year AgreementSpeeds Available as fast as 8 x 1 Mbps - $94.99 10 x 1 Mbps - $99.99 10 x 2 Mbps - $104.99 10 x 5 Mbps - $109.99 15 x 1 Mbps - $109.99 20 x 1 Mbps - $114.99 20 x 2 Mbps - $119.99 20 x 5 Mbps - $124.99 30 x 2 Mbps - $129.99 50 x 5 Mbps - $134.99 Two Year Installation* $199 Service installation only includes modem install. Subscriber router setup and configuration billed at current onsite rates. Modem Rental Included Free Modems must be returned to Mitec office upon service termination within 30 days. Unreturned modems will be charged $249 to subscriber's account. Static IPs 1 Static IP Included LTE AgreementSpeeds Available TMO LTE 50GB Plan - Unlimited Data - Price: $124.99 Month to Month No Contract Required 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. Wireless Modem Installation: $149.00 Router Required (not included). You may provide your own (standard WiFi Router only) or we will provide a router for $99.99.Speeds Available TMO LTE 50GB Plan - Unlimited Data - Price: $99.99 Month to Month No contract required 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. Wireless Modem Installation: $149.00 Router Required (not included). You may provide your own (standard WiFi Router only) or we will provide a router for $99.99.Installation Wireless Modem Installation: $149.00 WiFi Router Standard WiFi Router: $99.99 Modem Wireless LTE Modem - $199.99 CustomProduct Name Speed Monthly PriceInstallation PriceHardware PriceVoIP ServicesVoIP Basic VoIP Phone Service Elevated VoIP Phone Service Basic VoIP Monthly Agreement I need phone numbers to be ported (max 2 Phone numbers) Ported phone numbers Phone LinesMonthly phone service rate Mitec Basic VoIP - $24.99 / per line Installation Basic Phone Service Installation: $149.99This includes up to 1 hour of Onsite labor to install phone, test line, and show customer the basics of the service. Customer Phone Service Installation: $120/hr. When your home or office requires special wiring and more than 1 hour of labor to complete the installation Equipment Telo Box Required (not included): $49.99 Elevated VoIP Monthly AgreementTotal Users & Phones Unified Communication Service - Monthly Rate Elevate Standard User - $39.99 + taxes & fees per user, line or phone Includes up to 5 devices, unlimited local and long distance calling, Webfax, File Sharing, Online Meetings, and many other capabilities. Elevate Pro User Upgrade - $14.99 Additional + taxes & fees per user, line or phone Pro User upgrade applies to each user in the account. Up to 30 participants per meeting per user, and 100GB of storage and backup per user. Phone Hardware Polycom VVX410 - VoIP Phone - $299.99 + tax and shipping An IP desk phone with a color display and dual Gigabit Ethernet ports which delivers superb sound quality as well as a wide range of supported business telephony features. Includes 12 line keys configurable for phone calls, presence or speed dial. Yealink T46G - VoIP - $249.99 + tax and shipping An IP desk phone with color display and dual Gigabit Ethernet ports that delivers best-in-class desktop productivity and communications for busy executives. Includes 10 physical line keys accessing 27 key positions configurable for phone calls, presence or speed dial. BYOP - Bring Your Own Phone Ask sales rep for phone compatibility list. For Month to Month service agreement, phone hardware must be purchased from Mitec unless using BYOP. Installation Requires Custom Phone Service Installation: $120 / hr per line (An install estimate for VoIP Service will be provided for approval prior to service installation) Rough Labor TotalAdd-on Services Additional Auto Attendant: $4.99 Additional WebFax: $4.99 Unlimited Fax Line: $25.25 Business Toll Free Minutes: International Call Plan Local Add-on Number: $1.99 per number Additional Auto Attendant QuantityAdditional WebFax QuantityUnlimited Fax QuantityBusiness Toll Free Minutes Bucket OptionsFirst ChoiceSecond ChoiceThird ChoiceMonthly Usage AverageLocal Add-on Number QuantityPhone Taxes