Service Order Form

Gather customer information while working remotely


MM slash DD slash YYYY

Customer Information

Customer Name(Required)
Customer Service Address(Required)
OPTi-Fi Internet Plan Requested by Customer
Plan details listed below
Promotional offer accepted
Go Big Go Gig

OPTi-Fi 1GIG/1GIG

$130.00/mo
*Additional $5 recovery fee is required with all Internet plans.

1G
Download Speed

1G
Upload Speed

  • No Data Limits
  • No Contracts
  • FREE Wi-Fi
  • 24/7 Tech Support

OPTi-Fi 500M/500M

$110.00/mo
*Additional $5 recovery fee is required with all Internet plans.

500M
Download Speed

500M
Upload Speed

  • No Data Limits
  • No Contracts
  • FREE Wi-Fi
  • 24/7 Tech Support

OPTi-Fi 100M/100M

$90.00/mo
*Additional $5 recovery fee is required with all Internet plans.

100M
Download Speed

100M
Upload Speed

  • No Data Limits
  • No Contracts
  • FREE Wi-Fi
  • 24/7 Tech Support
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