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Hand/Hughes County SignUp for Service Form
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Hand/Hughes County SignUp for Service Form
Residential / Business Fiber SignUp - Hughes/ Hand
Are you interested in Residential or Business Solutions?
*
Residential
Business
Contact Information
Business Name
*
Please list all authorized individuals on the account.
Primary Contact First Name
*
Primary Contact Last Name
*
Birthdate
Business First Name
*
Business Last Name
*
Additional Authorized Contacts
Address
*
City
*
State
Zip
*
Is your billing address different than your service address?
*
Yes
No
Billing Street Address
*
Billing City
*
Billing State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Billing Zip Code
*
Email Address
*
Contact Phone Number
*
Primary Phone Number
*
Secondary Phone Number
Which Business Service(s) Are You Interested In?
Business Services Options
Internet
Internet + TV
Which Service Are You Interested In?
Internet vs Home Internet + TV
*
Internet
Home Internet + TV
Business Internet
Business Options
*
Business Digital TV
TV PACKAGES
CORE TV Package includes over 55 channels. BASIC TV Package includes all of CORE TV Package and has an additional 125+ channels.
For more information on channel line-ups, please click
here.
.
Total number of TV boxes needed.
*There is a $150.00 one-time charge, which includes the installation of 1 set-top boxes.
*Installation of each additional set-top box is $65.00
*Each additional set-top box is $9.50/per month.
Watch TV Everywhere (WTVE)
- Free with Basic and Core Packages on select channels.
Business Phone
Are you interested in learning more about Venture Communitcations Phone Services?
*
Yes, please contact me.
No Thank you
Venture Communications offers the next generation Communication System via Hosted PBX Phone Services. This Cloud based communication Service offers seamless communication regardless of your location. Savings can be obtained through minimal upfront costs and no expensive hardware to maintain.
Keep your same phone number
Switching your services allows you to keep same number.
Manage calls seamlessly
Calls between locations handled like an intercom in the same building.
Voicemail to Email/Text
Listen to your messages anywhere on your computer or mobile device.
Benefits of Hosted Services
• Keep your current phone number(s) when you switch to Venture Communications service
• Unlimited long distance
• Voicemail to email/text feature
• Built in disaster recovery – fully backed up off premise
• Secure & Reliable
• Affordable, scalable – grows with business
• Local Technician & support
*Must subscribe to business fiber internet to get business phone service.
A LA CARTE TV OPTIONS
Venture Extra TV Multiplex- $6.95/mo
HOME INTERNET
Internet Only Options
*
HOME TV & INTERNET
CORE TV Package includes over 55 channels. BASIC TV Package includes all of CORE TV Package and has an additional 125+ channels. For more information on channel line-ups, click
here
.
Options
*
Which TV Package?
*
Add Core TV $49.05 per Month
Add Basic TV $88.05 per Month
Total number of TV boxes needed.
*
DVR Options
*
Yes, I would like Whole Home DVR for $7.99/month
No, Thank You
*There is a $150.00 one-time charge, which includes the installation of 1 set-top boxes.
*Installation of each additional set-top box is $65.00
*Each additional set-top box is $9.50/per month.
Watch TV Everywhere (WTVE)
- Free with Basic and Core Packages on select channels.
Video On Demand
- Choose from hundreds of great movies (some free content).
*TV not available in city limits
*Must subscribe to Venture Rushnet to receive TV
A LA CARTE TV OPTIONS
Adult Programming
Playboy CH (PPV only) – $6.99
FRESH (PPV only) – $6.99
Playboy (Monthly) – $16.95
Cinemax Mulitplex - $13.95/mo
HBO Mulitplex - $18.95/mo
Showtime Mulitplex - $15.95/mo
STARZ ENCORE Mulitplex- $13.95/mo
Venture Extra TV Multiplex- $6.95/mo
NFL Redzone - $62.95
HOME PHONE
ADD RESIDENTIAL TELEPHONE TO ANY OF THE ABOVE INTERNET PACKAGES FOR $20.00/MO.
*Includes calling features such as Caller ID, Voicemail, Call Waiting and Call Forwarding
Yes, I would like home phone service for $20.00 + taxes.
No Thank You
Must Subscribe to Internet to get phone
Directory (indicate one - only fill out if you will be getting a phone number with VCC)
Published Name to appear in Phone Book
Directory Name
Would you like your address to appear in Phone Directory?
*
Yes
No
Address to appear in Phone Directory
*
Non Published (will not appear in Directory/Directory Assistance/Caller ID)
Bill Payment & Additional Options
Bill Pay Options
*
Paperless Bill & ACH
Paperless Bill & Pay by credit card
A $2.00/month credit is given when doing a paperless bill and automatic payment.
Would You Like a Yard Sign?
Yes
No
Any comments or additional information that we should be aware of?
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