Thank you for choosing ACD.net's SpringfieldNet!
Business Customers Please call 517.999.9999
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| New Signup Information |
| Surname |
Mr.
Ms.
Mrs.
Dr. |
*These are required fields. Please fill them out completely. We cannot process your signup without this information. |
| First Name* |
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| Middle Initial |
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| Last Name* |
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| Address* |
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| Address 2 |
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| City*/ State* / Zip* |
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| Phone* |
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| Email Address: |
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| Credit Information |
Please read this page carefully and indicate your permission to authorize
a credit check by entering your social security number below and finalizing the order on the following pages.
In order to continue with your online order, we must check your credit rating. You are not obligated to continue with this order. If this order is not completed a credit
check will not be performed. If you would prefer, you may call 877-728-3118 to speak with a representative to place your order over the phone.
Under the Fair Credit Reporting Act (FCRA), ACD.net has limited obligations to provide customers with information pursuant to 15 U.S.C. ยง 1681m:
We must notify your when an adverse action is taken on the basis of your credit report.
We must identify the company that provided the report, in this case TransUnion, so that you may verify and/or contest the accuracy and completeness of the report.
We must notify you that you can obtain a free copy of your credit report by visiting: https://www.annualcreditreport.com/cra/index.jsp
By entering your social security number below you hereby agree to ACD.net performing a credit check.
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*Social Security Number (xxx-xx-xxxx):
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| Service Plan |
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| Billing Cycle |
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| Window Mount Kit $29.95 |
YesNo |
This $29.95 kit makes mounting of the access device to a window or a wall quick and easy. |
| Installation Option |
$0.00 - Self Install$49.00 - Tech Install |
Installing Wireless is Simple! Arrange the antenna so that it gets the best signal from one of our access points, normally in one of your windows. Tech Support is always just
a phone call away. Or, if you need one of our tech's to visit your home to install and test it we charge $49.00. Exterior installations are on a per job basis. |
| Billing Information |
| Bill my credit card |
| I understand that my services will be charged to the card on file on the 1st of each month with the first month prorated to the 1st. The first charge will be for the setup fee at the time the equipment is mailed. |
Credit Card*
No dashes or spaces, i.e. xxxxxxxxxxxx |
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We accept Visa, Mastercard, or Discover. This card will be charged automatically
every one, three, six, or twelve months - whichever you selected above. If you are a company and wish to
signup please call 1-517-999-9999 |
| Expiration* |
month
year
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| Name On Card |
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| CIV CODE |
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Enter the CIV code which is the last three numbers in the signature panel on the back of your credit card. |
| Invoice my Services |
I understand that I will be invoiced on the 1st of the month for my services.
We will need an initial payment of $29.00 for the setup fee prior to finalizing your setup an shipping the equipment to you.
If payment for an invoice is not made within 30-days service will be interrupted without notice. Any service interrupted for non-payment will incur a $5.00 re-connect fee. |
| How Did You Hear About ACD.net? |
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| **NOTE** Please press Signup only once! If you receive an error after clicking Signup, do
not go back and try again, or try signing up again. This may result in multiple charges being made to your card. If
you receive an error, please make a note of it and contact us toll-free at 877-422-3638. Thanks! |
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