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)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 router ($5/month)I will use my own routerSeasonal Service (Available in Island Lake & Searchmont areas only!)Seasonal service is only available in our Island Lake & Searchmont networks. Please refer to those pages of our website for further details and conditions. Yes, I am applying for Seasonal Service 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
