NETPLEX DSL

FOR EXISTING NETPLEX ADSL Customers
who wish to commit to the 1 Year Term.

You will Need to Know:

1. What your ADSL phone number is. If you are not sure what your ADSL number is then call 888.638.7539 or email sales@netplex.net with your name and address.
2. How much you are being billed per month ($45, $60, $65, $75 . . .)
3. What ADSL Package you want

Note: All fields must be completed unless it is marked optional. It will take 5-10 business days from the time you submit this form to the time you can access your new Netplex ADSL account.

How much are you being billed now?

* What is your ADSL Number?

Name:

Organization: (optional)

Number you can be reached at:

E-mail address:

Select an ADSL PACKAGE:

All these packages require a 1 year commitment

If you have been paying $45, $60, $65, or $75 the $24.95 ADSL package is equivalent to any of those packages in speed

If you have a Premium package and you are paying $130 then choose the Advanced Package for $49.95 is equivalent in speed

If you have a Premium PLUS package and you are paying $169 or $180 then choose the Advanced PLUS or Premium Package

Would you like to change your method of billing yes no

If Yes how do you wish to be billed
monthly by invoice monthly by credit card change of credit card

Type of Card :

Card Number:

Expiration Date:

Name on Card:

••• ADSL Package 1-Year Commitment •••

By submitting this form for NETPLEX ADSL you agree to our Terms of Service and Acceptable Usage Policy for One Year (12 Months); Please read both of these if you have not already done so. If you cancel for any reason within that 12 month period you also agree to an early termination fee of $150 or you will be billed for the number of remaining months, whichever is greater.

Toll Free: 888-NETPLEX (638-7539)
Local: 860-233-1111