Wireless Order Form

	Thank you for your interest in Skynet's Wimax services. Please fill out the form below to determine if your address qualifies for service..
First Name (*)
Last Name (*)
E-mail (*)	Please use Valid email address.
Address (*)
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Home Phone	Invalid Input
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Type of Service	BusinessResidential
Order Wireless Service	Economy (10 times faster than Dial-up) Basic (20 times faster than Dial-up) Standard (Up to 180 times faster than dial-up) Premium (Up to 180 times Faster than Dial-up with double the committed information Rate) Custom
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	A representative will follow-up to determine if your address qualifies for Wimax service.