T1
Service Order
Date: 01-07-2009
Company Name:

First Name:

Last Name:

E-mail address:

Telephone Number:

Street Address:

City: State: Zip:

Billing Address: same as the Service Address

If different from the Service Address:
Billing Address:
City: State: Zip:


Requested Service                           Monthy rate

Fractional T1
378 kbps                                        $420.00
768 kbps                                        $520.00

Full T1
1.54 M                                          $545.00

One time T1 Installation Charge: $545.00 - covers circuit provisioning & installation, line testing, rewiring existing jack (if available), router installation and configuration, if applicable.

 Total IP numbers needed :
At Present: Within the next 12 months:

Domain Name Services
Primary & Secondary DNS                  $5.00
Secondary DNS                                  N/C
2 year registration                     $56.00            
5 year registration                     $126.00 *save 10%
10 year registration                   $238.00 ** save 15%
Domain Name Requested: http:// .



AUTHORIZATION & AGREEMENT: Subscriber agrees to use Internet in compliance with all applicable laws and to indemnify and hold Stickdog harmless for any loss incurred by Stickdog or Stickdog's suppliers as a result of Subscriber's use of Stickdog's service. Subscriber agrees to pay fees in accordance with Stickdog's rate schedule listed above, and revisions thereto, provided that Stickdog provides notice to Subscriber of any rate increase at least 60 days prior to next payment due date.
I agree

STICKDOG TELECOM, INC.
143 A Church Street, NW Vienna, Virginia 22180
(703) 319-1700
customercare@stickdog.com