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myMaxxSouth App
This is a Presale Order
This is a Fiber Conversion
Order Date
Install Date Requested
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PM (2-5)
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American Samoa
Arizona
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Armed Forces Americas
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Northern Mariana Islands
Ohio
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Palau
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Puerto Rico
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Utah
Vermont
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Virginia
Washington
West Virginia
Wisconsin
Wyoming
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British Columbia
Manitoba
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Ontario
Prince Edward Island
Quebec
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Mailing address is the same as the service address.
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Address 2
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Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
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Colorado
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Texas
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Virginia
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Manitoba
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Ontario
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Quebec
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Yukon
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Email
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SP: TiVo+ & Starter Internet
$39.99
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$89.99
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$149.99
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StreamTV Basic
StreamTV Expanded Basic
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TiVo+
Channel Guide Free for One Month!
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Includes access to Max!
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Starz/Encore
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High-Speed Internet Options
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150 Mbps Download/5 Mbps Upload
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400 Mbps Download/10 Mbps Upload
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600 Mbps Download/12Mbps Upload
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1000 Mbps Download/20 Mbps Upload
Additional Services
SmartNet
Service Assurance Plan
Brainiacs
Only $5 if added with SAP
BARK Jr.
Free Parental Controls App when signing up for MaxxFiber!
BARK Premium
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RSC Only Offers
SP: TiVo+ & Fiber 200
$39.99
StreamTV Basic, TiVo+ & Fiber 400
$89.99
StreamTV Expanded Basic, TiVo+ & Fiber 400
$149.99
Streaming Services
StreamTV Basic
StreamTV Expanded Basic
StreamTV Lite
TiVo+
Channel Add-Ons
Digital Basic
Digital Plus
HBO
Includes access to Max!
Paramount+ with Showtime
Cinemax
Starz/Encore
MGM+
None of the above
How many StreamTV boxes are needed?
Channel Guide Free for One Month!
MaxxFiber Options
Fiber 200
200 Mbps Download/200 Mbps Upload
Fiber 400
400 Mbps Download/400 Mbps Upload
Fiber 600
600 Mbps Download/600 Mbps Upload
Fiber 1 GIG
1000 Mbps Download/1000 Mbps Upload
Fiber 2 GIG
* Wifi Equipment Not Included
Fiber 4 GIG
* Wifi Equipment Not Included
Fiber 6 GIG
* Wifi Equipment Not Included
Fiber 10 GIG
* Wifi Equipment Not Included
Additional Services
SmartNet
Service Assurance Plan
Brainiacs
Only $5 if added with SAP
BARK Jr.
Free Parental Controls App when signing up for MaxxFiber!
BARK Premium
WTFast Single
WTFast Family
Digital Home Phone Service
- None -
Yes
No
CPNI
?
Phone Number Options
Hosted Number
Ported Number
Number to Port
Do you want your phone number listed?
Yes
No
Additional Phone Lines Needed
Number of Beacons Needed
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Reconnect Install
Change of Service
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Paperless Statement Opt-In
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Installation Total
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Comments
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Customer agrees everything on the order is accurate.
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