Flypoint Broadband Application Applicant Name* First Last Mobile PhoneHome Phone*Email* Enter Email Confirm Email Installation Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Billing Address if different Same as Installation Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Service Requested*Fly 5 Plan (Up to 5 Mbps)Fly 10 Plan (Up to 10 Mbps)Fly-Plus Plan (Up to 25 Mbps)Service Requested*HP Fly-10 Plan (Up to 10 Mbps)HP Fly-25 Plan (Up to 25 Mbps)HP Fly-50 Plan (Up to 50 Mbps)Router Required*In order to connect more than one device to your internet service, or to connect devices via WiFi, a router is required. You may rent one from Flypoint, or use your own.I want to rent a basic router ($5/month)I want to rent an extended range router ($9.99/month)I will use my own routerSeasonal Service (Subject to Availability)Seasonal service is only available in Island Lake, Searchmont, and select portions of the Goulais Bay area. Please refer to those pages of our website for further details and conditions. Yes, I am applying for Seasonal Service FlyFoneFlyFone is an available add-on to your Flypoint Internet service that provides you with an alternative to traditional land line service. You can bring your existing phone number3 or get a brand new one. Standard calling features such as Caller Number Display & Call Waiting are included. Free Long Distance to most areas of Canada and the U.S.4. FlyFone Service is subject to availability by area and service type. If it cannot be offered on your account you will be notified when your application is reviewed and processed.Add FlyFone? Yes, please add FlyFone to my application ($19.99/month) Phone Number I would like to bring my existing phone number Please assign me a new number Enter the phone number to bring to FlyFone:*Upload your Phone BillAccepted file types: jpg, png, tif, pdf.If you have a digital copy of your most recent land line phone bill, please attach it here. If you are scanning a paper copy, please place your signature in a blank area of the bill before scanning.Notes All services are: Unlimited data 12 Month term (except Seasonal contracts where available) Basic installation 1 Subject to signal strength and radio capacity Subject to Flypoint Broadband terms 2 Subject to locally advertised terms, prices and fees We accept payment for services via Visa, Mastercard, or bank account online through your Flypoint customer portal. 1 Basic installation: antenna mount on house and cable run shortest distance to router. Installations other than basic will be billed at time and materials. Payment for installation is due at time of first billing, if applicable. 2 By submitting this application, and/or approving of the installation of Flypoint Broadband LTD equipment, the applicant acknowledges that they agree with the Legal Terms 3 Local Number Portability is available for most numbers, both mobile and landline. Subject to final verification by Flypoint Broadband. 4 Long Distance service to the 10 Canadian Provinces and Lower 48 contiguous US states is included. Excludes Alaska, Hawaii, US and Canadian Territories. The service cannot be used for International Calling other than to the USA.
