EQUIPMENT:
 

Please select your equipment package... Used Equipment - HN7000S Service Only New HN7000S .74m Equipment & Service New HN7000S .98m Equipment & Service New HN9000S .74m Equipment & Service

MONTHLY SERVICE PLAN:
 

Please select a monthly servlce plan for an HN7000S modem here.... Home (0 IP) - 700k/128k - (200mb FAP) - $ 59.99 Pro (0 IP) - 1mb/200k - (375mb FAP) - $ 69.99 Pro Plus (0 IP) - 1.5mb/200k - (425mb FAP) - $ 79.99 Pro Plus (1 IP) - 1.5mb/200k - (425mb FAP) - $ 89.99 Small Office (0 IP) - 1.5mb/300k - (500mb FAP) - $ 99.99 Small Office (5 IP) - 1.5mb/300k - (500mb FAP) - $ 119.99 Business Internet (0 IP) - 2mb/500k - (1250mb FAP) - $ 179.99 Business Internet (5 IP) - 2mb/500k - (1250mb FAP) - $ 199.99            Please select a satellite... AMC6 @ 72 West Horizon 2 @ 74 West AMC9 @ 83 West AMC3 @ 87 West IA8 @ 89 West G11 @ 91 West IA6 @ 93 West G3C @ 95 West G16 @ 99 West Satmex 6 @ 113 West SatMex 5 @ 116.8 West Horizon 1 @ 127 West Default

 (Although we can select a satellite, we cannot guarantee which satellite you will be given)

OR

Please select a monthly servlce plan for a HN9000 modem here.... Home - 700k/128k - $ 59.99 Pro (0 IP) - 1mb/200k - $ 69.99 Pro Plus (0 IP) - 1.5mb/200k - $ 79.99 Pro Plus (1 IP) - 1mb/200k - $ 89.99 Elite - 2mb/300k - $119.99 ElitePlus - 3mb/300k - $189.99

SERVICE OPTIONS:

Option - Maintenance Plan - None Service Assurance Standard - $ 5.95 / mth Service Assurance Plus - $ 12.95 / mth    Available with new equipment activations only!

Option - Dial-up account  None Dialup Service Plan - $ 15.00 / mth

INSTALLATION INFORMATION

First Name:    
Middle Name: 
Last Name:    

Company Name:            (can be a business name or full name... example:  John Doe... or Doe Plumbing, etc.)

Installation Address:    
Installation Address:    

Installation City:               Installation State:                                      Installation Zip: 

Installation Phone:           Installation Phone:            E-mail Address:

BILLING INFORMATION (must be the same as the credit card billing address)

Check here if same as Installation Information (no need to fill out this section if you check the box)

First Name:  

Middle Name:

Last Name:  

Billing Address: 

Billing Address: 

Billing City:            Billing State:                                            Billing Zip: 

Billing Phone:        Billing Phone:        E-mail address:

Approximate Installation / Activation Date:         AM       PM

Please choose a 4 digit PIN Number for your new HughesNet Account:     (will default to the last four digits of your primary phone number)

Site Name:      (use to differentiate from other systems you may have under your name, etc.... example: Lake House)

PAYMENT INFORMATION
If you do not want to submit your CC information online, please contact us toll free at 888-608-2299 to provide that information!

This information will be used for your monthly service billing by HughesNet for your monthly Internet access.

Credit Card Type:   Please select... Visa MasterCard American Express    (required for monthly billing)

Credit Card Number:                       Credit Card Expiration Date:     (format:  01/06 or 01/10/06)

Name as it appears on card:        Credit Card Security Code:       (last 3 digits on back of card or the 4 on front if AMEX)

Please select from the following that best describe your equipment and installation status:

Installation Status:     I have the system installed already              I am in need of installation services

(If you are a a re-seller or installer, please fill in your name or company so that we can match this account up to be "your customer" in our system.)

The above information will be used by Montana Satellite & Wireless to setup your HughesNet Monthly Service account only.  We will not offer your information to anyone other than HughesNet.  Montana Satellite & Wireless is not responsible for HughesNet service, and by submitting this information, you agree to the HughesNet Terms and Conditions and to any contractual service obligations, etc.

By submitting this information, you must agree that you are submitting the above information as fact and that you are the individual requesting HughesNet service and that you are authorized to use the credit card information being provided.  You also understand that any fraudulent or misleading information may result in a suspension of your HughesNet service and possible legal remedies.

If your equipment was purchased from someone other than Montana Satellite & Wireless, a $35 charge is required for this service.  Click here to submit payment for this service if you haven't already!

If the above statements and information is true and correct, please press submit.   We will contact you via the e-mail address or telephone number submitted with your new account information and to schedule the sales, and/or installation of your system if requested.

Thank you!