ISP Service Request

Name of ISP Submitting Request(Required)

Must be qualified and approved to provide service.

End User Name(Required)

Customer or Job name or description of project

Address Where Service Is to Be Provided(Required)

Street Address City ZIP Code

Service Requested(Required)

Product and pricing options vary based on selections. Wholesale PON does not include internet or IP.

Wholesale PON

Network Transport

Internet Access

Collocation

Dedicated IP ($10 per month)

Start Date.(Required)

Date you wish to have service connected and activated for customer.

Wholesale PON Connection Product

Monthly recurring charges listed along with speed. Does not include IP or internet access. LIPE means PUD low income program enrolled. Please confirm with PUD that customer is eligible to access this product.

150/150 Mbps (residential only) $47

LIPE 150/150 (residential only) $37

1/1 Gbps $54

LIPE 1/1 Gbps (residential only) $44

3/3 Gbps $117

5/5 Gbps $287

Network Transport Core Ports

Indicate if a new or existing port is needed. $200 MRC per core port. A $150 NRC applies to each new port activated.

Add new port $200

Use existing port

Network Transport End Points

Select number of end points needed to complete this connection. MRC is $150 per Endpoint. A $100 NRC applies to each new endpoint activated.

Other

End Point Address 1

Street Address City ZIP Code

End Point Address 2

Street Address City ZIP Code

End Point Address 3

Street Address City ZIP Code

Internet Access Type

Dedicated internet Access is priced at $0.45 per Mbps. Metered Internet Access is priced at $0.60 per Mbps and is measured once a month and billed at the 95th percentile. Metered internet does not commit the ISP to a prescribed bandwidth and allows for flexible usage.

Dedicated

Metered

Dedicated Internet Selection

Selections must be rounded to the nearest 100 Mbps unless under 100 Mbps, in which case they should be rounded to the nearest 10 Mbps. Up to 10000 Mbps.

Collocation Products

Monthly recurring charge

Full Rack $400

Half Rack $250

Quarter Rack $150

DC Power $18

Any special installation requests?

Yes

Special Instructions

Describe any installation requests needed to complete your connection.

Map, Diagram, or Picture

Upload an image that will help us understand how to complete the work requested

Drop files here or

Accepted file types: jpg, gif, png, pdf, heic, Max. file size: 15 MB, Max. files: 3.

Name of Person Submitting Order(Required)

First Last

Email of Person Submitting order(Required)

Phone Number

Signature(Required)

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.