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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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AM (8-11)
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PM (2-5)
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Install Date Requested 2
Install Time Requested 2
AM (8-11)
Noon (11-2)
PM (2-5)
All Day (8-5)
Install Date Requested 3
Install Time Requested 3
AM (8-11)
Noon (11-2)
PM (2-5)
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American Samoa
Arizona
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Armed Forces Americas
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California
Colorado
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Delaware
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Federated States of Micronesia
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Hawaii
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Mailing address is the same as the service address.
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Alaska
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Arizona
Arkansas
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Armed Forces Americas
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Colorado
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Delaware
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Virginia
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Ontario
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Saskatchewan
Yukon
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RSC Only Offers
SP: TiVo+ & Starter Internet
$39.99
StreamTV Basic, TiVo+ & Essential Internet
$89.99
StreamTV Expanded Basic, TiVo+ & Essential Internet
$149.99
$5 Internet
Streaming Services
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StreamTV Expanded Basic
TiVo+
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Channel Guide Free for One Month!
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Cinemax
Starz/Encore
MGM+
High-Speed Internet Options
Starter Internet
150 Mbps Download/5 Mbps Upload
Essential Internet
400 Mbps Download/10 Mbps Upload
Ultimate Internet
600 Mbps Download/12Mbps Upload
Supreme Internet
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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Ported Number
Number to Port
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No
Additional Phone Lines Needed
Number of Beacons Needed
RSC Only Offers
SP: TiVo+ & Fiber 200
$39.99
StreamTV Basic, TiVo+ & Fiber 400
$89.99
StreamTV Expanded Basic, TiVo+ & Fiber 400
$149.99
$5 Internet
Streaming Services
StreamTV Basic
StreamTV Expanded Basic
TiVo+
How many StreamTV boxes are needed?
Channel Guide Free for One Month!
Channel Add-Ons
Digital Basic
Digital Plus
HBO
Includes access to Max!
Paramount+ with Showtime
Cinemax
Starz/Encore
MGM+
None of the above
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
Channel Guide
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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Estimated Monthly Rate
Installation Total
Total Due Today
Amount Pre-Paid to the Sales Rep
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Comments
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Customer agrees everything on the order is accurate.
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