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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.
MM slash DD slash YYYY
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.
1
2
3
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.
10
20
50
100
500
1000
2000
Other
Collocation Products
Monthly recurring charge
Full Rack $400
Half Rack $250
Quarter Rack $150
DC Power $18
Any special installation requests?
Yes
No
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
Select files
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
Phone
This field is for validation purposes and should be left unchanged.
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