TLC Internet Services ... New Wireless Account Request

TLC Internet Services: Internet Access 812.735.2502

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* First Name:
* Last Name:
Company:
* Address
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Referred by a friend? If so give them a month of free internet by telling us who (name, home phone):
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** Rent Or Buy Equipment: Standard or High Power Antenna	Equipment Rent Buy	One-time installation fee - $75.00 RENT- Equipment Rental - $25 1st mo.; $9.95/mo OR $12.95/mo thereafter BUY - Std Antenna: $240 + tax. Hi-Pwr Antenna: $335 + tax.
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