WOWACCESS SITE SURVEY REQUEST

 
AT THIS TIME WE DO NOT CHARGE FOR SITE SURVEYS.  MAKE SURE YOU LOOK AT OUR PRICING PAGE TO UNDERSTAND THE COSTS ASSOCIATED WITH OUR SERVICE. ONLY SUBMIT THIS IF YOU ARE INTERESTED IN OUR SERVICE.
Last Name Business Name (If Applicable)

First Name

 Home Phone Number
Address for service Work or Cell Phone Number
City                                               Best time to contact
                      AM     PM
State  
 
Zip Email address

Please fill these out: select one on each of the following:
1. Can you see (near line of sight) one of our towers?  pictures of towers   4. What Service are you interested in?
  YES     Residential Basic        Business Basic
  NO     Residential Plus          Business Plus
  NOT SURE     Residential Pro           Business Pro
     
2. Which equipment option would you select? explain   5. Type of building service will be installed at?
  One of Our Special Packages     One-story Home      Town home/Condo
  One of Our Residential  Packages     Two-story Home      Office Building
  (Business) Direct Purchase ($499 + tax)     Apartment
  (Business) Lease ($200 down,  $50 per month)    
     
   

6. Which Credit Card will you use?

(number not required yet)
      Visa                    American Express
      MasterCard
     

Computer Information:
1. Number of PC's  that will use connection?   2. Which Operating System(s) do you have?
  Windows XP (Home or Pro) Linux
    Windows 2000 Mac
    Windows 95 or 98  
       

Additional information
Where did you hear about us?      
     
       
Please describe in the box below, the location of your computer in your house (where you want the antenna cable to go) - floor level - which side of the house - etc. Also use this space for any other installation requirements. Also, if someone referred you, please put there name in here.

All fields with a must be filled out in order for us to do a site survey.

 

UPON SUBMITTING THIS SURVEY WE WILL PHYSICALLY VISIT YOUR LOCATION.  YOU DO NOT NEED TO BE PRESENT.  IF WE NEED ACCESS TO YOUR LOCATION WE WILL CALL TO SETUP AN APPOINTMENT.

 

UPON COMPLETION OF YOUR SURVEY, WE WILL CONTACT YOU WITH THE RESULTS.

IF YOU DO NOT HEAR FROM US IN A WEEK, PLEASE EMAIL US AT sales@wowaccess.com