Park North ISP Service Application

First Name *

Last Name *

Street Address

1ST FLOOR UNIT# *

2ND FLOOR UNIT# *

3RD FLOOR UNIT# *

4TH FLOOR UNIT# *

City

State

Zip Code

Phone Number *

Email Address *

Wireless ISP Services Available at Park North Park North Condos installed dedicated internet fiber service in 2018. This Dedicated Service allows residents access to a secure, reliable and affordable connection they can use in their home to securely surf, stream and work using their subscription to the Park North Web. Service levels include the following: 50MB for $43/month or 100MB for $68 /month- this greater bandwith is available if you need it (if you work from home or are a serious gamer needing more) - No long term contracts, unlike large ISP providers, we are not overselling - we are limited to service within Park North property. $25.00 ACTIVATION FEE WAIVED IF YOU SIGN UP FOR SERVICE BY NOVEMER 30, 2018

Wireless ISP Services Available at Park North *

50MB $43.00 Month

100MB $68.00 Month

Service Activation Date

Please select the date you would like to activate your service. (Please note that by selecting a service start date it is not automatically guaranteed by your selection.) * +

Please provide us with a Username and Password that you would like registered to your account. (Please note any inappropriate or offensive Usernames will be rejected.)

Network Name: *

Password: (*Password should be at least 8 characters and include upper/lower case letters along with numbers.) *

SERVICE ACKNOWLEDGEMENT

By signing this form you hereby authorize Park North at Cheney Place to draft your ISP service provider agreement to commence the services you selected. Upon receipt of this signed form, a request will be generated to establish your online portal and execute your service agreement. *

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