Access Point Deposit Request Form
Name:
Phone Number: ( ) -
Cell Phone Number: ( ) -
E-mail Address:
Address:
Apartment/Unit Number:
Mailing Address (For the cheque):
City:
Province/State:
Postal Code/Zip Code:
Country:
Subscription Period: Start Date: End Date:
 
Information
  1. Once the form has been submitted, a technician will contact you to set an appointment to test and pick up the access point.
  2. Once our technician has verified that the access point is in working condition, we will send a cheque to your mailing address at the end of next month.