Internet - WildBlue

WildBlue Service Sign-Up Form

I. Customer Billing Information





II. Customer Information

If your home was built before 2004, a pole mount will be required in order to support the weight of the dish. The pole mount is an additional $100.00 not included in the free installation. If we bury the cable, you will be charged for time at $80.00 an hour (prorated) plus materials.

Laptop Desktop

15. Please write detailed directions to your house:

Note: Wireless internet service may not be suitable for VPNs (Virtual Private Networks), Voice Over IP, or Online Gaming and Mobius does not provide warrantees or serviceability for these and other applications as explained in this contract.

16. Please choose one:




$000.00
$000.00

Customer initial showing that Customer has been provided, reviewed and accepted WildBlue Terms and Conditions. Information on charges and surcharges (if any) or any changes to these charges or surcharges that are to be paid to us and are incurred by you or by users of your account will be made available to you on the Mobius website [www.mobiusinternet.com] and you agree that this is sufficient notice for all purposes as to charges incurred and paid or to be paid to us

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