Please select your equipment package...New HN7000S .74m Equipment & Service - $399.98New HN7000S .98m Equipment & Service - $699.98New HN9000S .74m Equipment & Service - $399.98

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Select a monthly servlce plan for a DW7000 or HN7000S modem here....Home - 700k/128k - (200mb FAP) - $ 59.99Pro (0 IP) - 1mb/200k - (375mb FAP) - $ 69.99Pro Plus - 1.5mb/200k - (425mb FAP) - $ 79.99Pro (1 IP) - 1mb/200k - (375mb FAP) - $ 89.99Small Office (1 IP) - 1.5mb/300k - (500mb FAP) - $ 119.99Small Office (5 IP) - 1.5mb/300k - (500mb FAP) - $ 149.99Business Internet (1 IP) - 2mb/500k - (1250mb FAP) - $ 199.99Business Internet (5 IP) - 2mb/500k - (1250mb FAP) - $ 229.99
 

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

Option - Maintenance Plan - NoneService Assurance Standard - $ 5.95 / mthService Assurance Plus - $ 12.95 / mth   Available with new equipment activations only!

Option - Dial-up account  NoneDialup Service Plan - $ 15.00 / mth

INSTALLATION INFORMATION

First Name:    
Middle Name: 
Last Name:    

Customer 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:

Requested 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)

Birthdate:                 Soc. Sec. Number: 

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.

You will not be charged anything until we contact you to discuss pre-sale terms and conditions, and installation requirements, etc.

Credit Card Type:   Please select...VisaMasterCardAmerican 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 if available)

The above information will be used by Montana Satellite & Wireless, HughesNet, and your HughesNet Installation Provider in order to set you up with a HughesNet High Speed Satellite Internet System.  We will not offer your information to anyone other than HughesNet and the Installation Provider.

By submitting this information, you must agree that you are submitting the above information as fact and that you are the individual requesting HughesNet Equipment and Services, 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 the above statements and information is true and correct, please press submit.   Your local HughesNet Installation Provider will contact you via the e-mail address or telephone number submitted with your new account information and to schedule the installation of your system as requested.

Thank you!