myCustom Pak Quick Quote - Print View

Please fill out following information and fax to 580-338-8260 or mail to PTCI, PO Box 1188, Guymon, OK 73942.
Signature:	________________________________________________________
Print name	________________________________________________________
Date:	________________________________________________________
Acct #	________________________________________________________

Notes:

Customer must have satisfactory credit

Prices subject to change during term of agreement

Term of service agreement is in addition to terms associated with cell phone subsidies and High-Speed Internet/Video installations

Service agreements are subject to changes if the customer elects to upgrade the package and enters a new service agreement.

Prorating or discounting of early termination charge will not be considered.

Upon expiration of service agreement discount the customer's rate will default to the monthly package price until the customer enters new agreement

Regulatory fees, surcharges and taxes are not included and will be charged in addition to package rate

Landline service is a requirement in the package.

HOME PHONE		Quantity
	Residential Phone Service (required)
	Call Waiting/Cancel Call Waiting
	3 Way Calling
	Caller ID
	WE SERV U PLUS
	MailCall 10
	60 Long Distance Minutes (.10/min over 60)
	250 Long Distance Minutes (.10/min over 250)
	Unlimited Long Distance. Note: one of the JETNET packages or DITV required.

HIGH-SPEED INTERNET		Quantity
	3 MG High Speed Internet Access
	6 MG High Speed Internet Access
	SecureIT Plus

		Service Agreement Discount
	Full Rate	Monthly Rate	1-year Service Agreement Discount	3-year Service Agreement Discount
Service Totals	$0.00	$0.00	$0.00	$0.00
Annual Savings		$0.00	$0.00	$0.00
Term Savings			$0.00	$0.00
Early Termination Fee			$150.00	$300.00
Select Service Agreement