| DSL Service Provided To: | Service Address Billing Address | DSL Service Provided By: |
| Name ______________________ | Name ______________________ | SOTA Technologies, Inc. |
| Address ______________________ | Address ______________________ | 441 Main St. |
| ______________________ | ______________________ | Coshocton, OH 43812 |
| ______________________ | ______________________ | 740-623-2662 |
| Contact Phone _________________ | Phone ______________________ | 740-623-2690 (fax) |
| Phone # for DSL _________________ |
|
I wish to order the services and/or equipment noted below. I understand this contract is for a 12-month period and
that early termination fees apply. I have read this contract and agree to pay all charges as described. |
| Signature _________________________________________ | Date ____________________________ |
| New Logon name to be established * ___________________ | Password_________________________ |
| (*cannot be the same as your dial-up account) | Number of computers to be connected to DSL __________ |
| Computer type (please circle) - Desktop OR Laptop | Number of phone jacks (other than for computer) ________ |
| Operating System _______________________________ | Number of wall phones _________ |
| Do you have multiple phone lines? Y or N (If yes, this could affect the cost of your installation. Talk to your phone company.) |
| Please bill me MONTHLY or Bi-MONTLY or QUARTERLY or Semi-ANNULLY or ANNUALLY |
| via EMAIL (email address _______________________________) or US MAIL or |
| CREDIT CARD Type: VISA, MASTER CARD, DISCOVER, Card number _________________________________ Expiration Date: ____/____ |
| Equipment/Service provided by SOTA Technologies |
| (Please indicate the desired services and/or equipment and place your initials beside the item.) |
Commercial DSL Package |
Price |
Standard Equipment |
|
____ Primary + |
$49/month |
DSL Circuit |
|
____ Basic I |
$79/month |
DSL Modem * |
|
____ Basic + |
$99/month |
Content Filtering |
|
____ Self Install OR |
$ 0 |
Web Hosting |
|
____ SOTA Install |
$149 |
Email Scanning |
|
____ Saferinternet OR |
Spam Blocking |
||
____ Gurulink |
Virus Blocking |
||
Optional Equipment/Service |
Price |
Up to 5 email accounts |
|
____ Single Static IP |
$10/month |
10 foot CAT-5 cable |
|
____ 2- 5 Static IP^ |
$20/month |
||
____ 6 - 10 Static IP^ |
$30/month |
* Must be returned upon termination of service |
|
____ Web Statistics Report |
$ 5/month |
** Requires static IP address |
|
____ Site Visits Report ** |
$ 5/month |
*** Requires additional hardware |
|
____ 5 Additional Email account |
$ 1/month |
~ For commercial accounts |
|
____ Video Security *** |
$20/month |
^ Additional hardware required. |
|
____ Web Hosting |
$20/month |
||
____ Domain Registration (2 years)~ |
$99/domain |
Applicable to Dynamic Products Laptop users and some desktop users may need to purchase an Ethernet card.
Applicable to Static Products Offer includes the use of a DSL router. The DSL router must be returned upon termination of service.
Static IP address blocks, up to a maximum total of 125 static IP addresses, may be requested at any time. For each request, the appropriate one-time processing fee will apply. Purchasing a static IP address block requires a block cut over. For the cut over, you must relinquish the original block of static IP addresses in exchange for the new, larger block of static IP addresses. If you move your service location or change your service working telephone number, a static IP address block cut over may be required and the one time processing fee will be charged.