SETEL INTERNET SIGN UP FORM
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SETEL
First Name *
Last Name *
Email *
Phone Number *
Best Time to Contact You *
I prefer to be contacted by: *
911 Street Address *
Address Line 2 (Suite #, Lot #, Apt #)
City *
State *
Zip Code *
Mailing Address *
Address Line 2 (Suite #, Lot #, Apt #)
City *
State *
Zip Code *
Date of Birth *
MM
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DD
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Internet Service Plan *
Wireless Password?  (Minimum of 8 Characters) *
Phone Line Count ($30/Line) *
Would you like a SETEL provided Voicemail? *
I currently have phone numbers I would like to move from another provider to SETEL.  Please provide all numbers below. *
Porting Charge (This charge is to move your current phone number from your old provider to SETEL)
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All phone service is delivered digitally (VoIP).  Any 3rd party systems need to be cellular or IP.  Ex:  Alarm System, credit card machine, modem. *
Installation *
By Selecting Below, I understand that I am signing up for Auto Pay via credit/debit card and that my card will be charged for my monthly service.  My card on file can be charged at anytime if service is disconnected and any past due balance is due including any equipment not returned to SETEL Fiber.  Pricing will be in SETEL Terms and Conditions.  ***Opting out of Auto Pay - accounts are automatically credited $10 for using Auto Pay.  The montly price after opting out of Auto Pay is $89.95.  Please email support@setel.net if you would like to opt out.*** *
Required
Security Pin ( 6 digit) *
Security Question (What is the name of the town you were born in?) *
Regulatory Agreement *
Required
Move in Date *
MM
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DD
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YYYY
Taxes and Surcharges
Taxes and Surcharges Additional
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