High Speed InternetOnline Form

**Requires OFM Active Telephone Service**

High Speed InternetOnline Form


First Name*

Last Name*

Mailing address*

Street Address - City State Zip*

Phone number*



OFMT High-Speed Internet Access

Residential High-Speed Internet Access
Service Options and Charges - 24 Month Contract


Bundle pricing available - Ask for details.

Business High-Speed Internet Access
Service Options and Charges - 24 Month Contract


Bundle pricing available - Ask for details.


“That not all speeds are available at all locations”
Note: Actual speeds may vary. See Service Level Agreement on reverse side of this form for actual factors that may cause speeds to vary.



Modem/Router Lease $7.99




Installation Services


Surge Protection

Firewall Protection

Virus Protection

Wireless Security


E-mail Accounts “Optional”

-You may create a ofmlive.net email address if you wish.
-Passwords should be at least 8 characters and contain lower / uppercase letters, number, and at least one special character (&,$,@,%, or !).

E-mail Address

Current Email*

Password


Customer agrees the information they're submitting is accurate.

Initials*

New terms and conditions