Application for Service Online Application for Service Application for ServiceIs this application for a NEW service or make changes to an EXISTING service?* NEW service EXISTING service Will this be a Business or Residential Service?* Residential Business Do you own the home or rent?* Home Owner Tenant/Renter Landlord's Name* Account informationAccount Name* First Name Last Name EXISTING phone number* Business Name Application Date MM slash DD slash YYYY Service Address (Street address of Service)* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is the service address the same as the billing address?* Yes No Billing Address* Billing Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone or other primary contact number*Current Email Address* How would you like to receive your statement?* eBill Only Regular Mail Only Both eBill and Regular Mail Credit ReferencesCurrent Employer* Employer Phone Number*ServicesI need to make changes to my:* Phone Service Internet Service Phone AND Internet Service Choose your service(s)* Telephone ($13 one time Installation fee) Telephone and Internet ($25 one time installation fee) Telephone ServicesBasic Telephone Service* Basic Telephone Service - $27.54 Battery Backup Service*The battery backup service (available only on our fiber network) allow you to continue to use your home voice services during a power outage. Without a battery backup (or other alternate backup source such as a generator), fiber customers will not be able to make any calls, including emergency calls to 911 during a power outage. To learn more about this service click here. No Battery Backup 8 Hour Battery Backup - $2 per month 24 Hour Battery Backup - $5 per month Optional Telephone Service Caller ID - $2.50 Voicemail - $4.00 Call Waiting $0.00 3 Way Calling - $0.00 Call Forwarding - $0.00 Long Distance Carrier*McDonald County Long DistanceNo Long Distance CarrierAT&TVerizonQwestGlobal CrossingWe encourage you to contact each carrier for individual pricing on long distance rates.Acceptable Use Policy* I Agree to the Acceptable Use Policy published at https://olemac.net/aup/ View our Acceptable Use Policy here.Internet ServiceInternet Speed* 10 Mbps -$50 15 Mbps -$75 25 Mbps -$100 50 Mbps -$125 100 Mbps -$150 500 Mbps -$175 1000 Mbps -$200 Speeds greater than 15 Mbps are not available in all areas, please contact us to verify availability. All speeds are available on our fiber network. View a map of our fiber network here.Optional Internet Services Gamers Upgrade - $10 Gamers upgrade details can be found here.Wifi ServiceDon't want the hassle of buying and setup of a Wifi router? We offer Wifi service for only an additional $3 per month! What our Basic Wifi service IS: We provide a Wifi signal at the modem/ONT, we will manage the SSID, and passphrase, and help troubleshoot residential Wifi issues. What our Basic Wifi service does NOT include: Extending the Wifi signal beyond the range of the Wifi radio contained within our modem/ONT, Advanced networking configurations such as port forwarding, firewall configurations, static IP's, etc. Wifi Service - $3 Terms of Service AgreementTerms of Service* I Agree to the terms of service published at https://olemac.net/tos View our terms of service here.VerificationIs there anything else we need to know?Use this section to enter any notes we may need to help process your order such as: other forms of contact, dates/time best for installation, etc..First, Middle, Last Initials*Please enter your initials below to verify that the information on the application is correct. Your initials are also the acceptance of financial responsibility for the account created from this application. There will be a $13 Installation charge for Telephone Service and a $11 installation charge for internet service. We will contact you regarding this fee once we verify your application.
