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Cable High Speed Internet Order Form


Do you provide High Speed Cable Internet Service in my area?

Please type in your postal code below. If service is available in your area you will then be allowed to fill in the order page. Please remember that not all areas support maximum speeds. You will be notified if the speed you order is not available in your area.



Postal code to check:

Order Form


Plan Type: *
Term
Do you CURRENTLY have cable internet?*
If you are switching from another CABLE internet provider please
indicate the day on which you will be canceling your service with your old
cable internet provider.
/day/month/year/
Do you CURRENTLY have cable TV
Do you wish to purchase our Modem:

Brand of modem (Motorola etc.)
Model number of Cable Modem
Customer Modem Serial Number and Model Number If Your Using Your Own Modem:
Customer Modem Mac Address If Your Using Your Own Modem::
Activation Time Lines. Best Time to Book Setup:*
If service is for your home, please indicate the floor you will need
the installation (main floor, top floor etc.)
Company:
First Name: *
Last Name: *
Cell Phone:
Home Phone #: *

Billing Information

Street Number: *
Street Name: *
Buzzer Code #:
Apartment Number:
City: *
Province: *
Postal Code: *
Country: *
E-mail Address: *

Credit Card Information


Name on Credit card: *
Credit Card Number: *
Credit Card Expiration Date * month / year

Account Security

Security Password(Optional)

Installation Instruction

Preferred date:(YYYY-mm-dd):

How did you find us:
Additional Comments:

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Our Commitment

30 Day Money Back Guarantee

We pride ourselves on getting things done right. That doesn't mean we are perfect, but when we make mistakes we fix them.

If we can't fix them to your liking and you're not 100% satisfied with your purchase of Acanac's High Speed Internet Service you may cancel the service within 30 days of activation. We will offer you a complete refund of the fees and taxes you paid for the service minus your modem purchase, activation fee and shipping fee.

Activation Fee
All Cable orders will incur a one time $49.95 activation fee. This fee is non refundable.


Shipping Fee
All purchased items have a non refundable fee of $9.95.


Price breakdown:



Credit Card