Wendell NET Drop Cost Payment Plan Application

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Name(Required)
(must be same as Whip City Fiber account)
Address where internet service will be installed(Required)
Street Address
Mailing Address(Required)
Street Address Address Line 2 City State ZIP Code
Phone(Required)
Email(Required)
Enter Email Confirm Email
Whip City Fiber's Estimated Drop Cost(Required)
Do you understand that the cost you provided above is an estimated cost and that your payment plan may be modified when the actual cost is realized post-installation?(Required)
I understand and agree.
If your estimated cost is over $2,500.00: Do you understand and agree that the Wendell MLP will only advance and provide a payment plan for the first $2500.00 of the estimated cost and that you are responsible for the remaining portion of the estimated and/or actual cost?(Required)
I understand and agree.
What is the monthly payment amount you are comfortably able to pay? (monthly repayment amount must be above $50.00 and must be paid off within 8 months)(Required)
Please enter a number greater than or equal to 50.
Do you understand and agree to all terms and conditions as stated in the policy document you reviewed prior to submitting this application?(Required)
I understand and agree to all terms.
Do you understand that the MLP reserves the right to retract or cancel this agreement at any time?(Required)
I understand and agree.
Please type your name below which will act as your electronic signature to bind you to repayment terms if your application is approved.(Required)
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Wendell NET Drop Cost Payment Plan Application

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