| I would like to register to be a (
*=Required) |
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Nowfast Wireless Internet Customer
Nowfast Wireless Internet Customer cum Partner
Nowfast Wireless Internet Partner only
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I agree to the terms and condition. |
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| My Personal Details |
| Salutation |
Mr
Mrs
Miss
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| Company |
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| Name |
*First |
MI |
*Last |
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| Address |
Suite |
*City |
*Street |
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Canada
*Country |
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
*Province |
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*Phone |
Fax |
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*Email |
Zip |
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| As a Customer |
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I would like to register for |
Home start up package($499)
Commercial startup package($699)
None
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and an added Gig package of |
20 Gigs of additional transfer( $39.95)
50 Gigs of additional transfer($84.95)
100 Gigs of additional transfer( $149.95)
None
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| As a Partner |
| I would like to host a Wireless Serving Site |
Yes
No
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| i am willing to host a tower |
Yes
No
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| I am willing to build a small tower |
Yes
No
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| I am willing to recruit users for your serving site |
Yes
No
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| I have welding skills |
Yes
No
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| I have a friend with welding skills |
Yes
No
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| I have a loader backhoe or bobcat |
Yes
No
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| Here is a description of the place i live |
Legal Land Description and Directions to your location
For the Latitude, Longitude and elevation below go to earth.google.com and
download and install the free software that will give you an ariel view of
your location and this information. |
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| Latitude |
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| longitude |
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| Elevation |
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| I have trees around my house |
Yes
No
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| I understand I have
to get over or around the trees |
Yes
No
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There is a Tower on my property |
Yes
No
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And the owner of the tower is |
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| I live on a very high hill |
Yes
No
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| I have a silo in my yard |
Yes
No
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| I have a high stable grain leg |
Yes
No
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| I have a 40 ft or higher TV toweror other kind of tower |
Yes
No
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| I have a good view in most directions |
Yes
No
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| Describe your line of sight in all directions. This is particuarly important for
those who are interested in becomming a serving site. We would also like to know
what you can clearly see from the top of high building or structure that you will
be providing to for us to serve from. Please be careful when determining this if
you don't already know this information. |
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| How To Pay Us? |
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You Can Pay Us by Auto Debit
(Without a invoice) for our services rendered. Please Fax a Voided copy
of a Cheque to 780-679-2331 |
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If you require an invoice or a
different payment option please contact us at 1 780 679 3286 |
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