Zirkel Wireless: Unleash the Internet
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Choice Plan 4Mbps $46Premier Plan 6Mbps $66Turbo Plan 16Mbps $86Turbo Plus Plan 24Mbps $116

 
Prices already include all applicable taxes
* Line of sight to the Zirkel Wireless network required, Internet speeds are not guaranteed.
Customer Information
All fields are required unless noted.
Name:

Company:(Optional)

Phone:

Second Phone:(Optional)

 Date of Birth:
/ /
Current E-mail Address:

How did you hear about us?:

Referred by:
Install Location
 
Physical Address:

City:

State:

Zip Code:

 Billing Address*
Same install address
Address:

City:

State:

Zip Code:

*All other billing information will be
collected at the time of installation.
Antenna Site (Optional)
If you are familiar with where our antenna sites are located please check which of our antennas have line-of-site to your location. If you are unsure you may skip this section.
Steamboat Springs Area
Celebrity Resorts Hilltop
Bear Claw Condominiums
Colorado Mountain College
Meter Station
Christian Heritage School
Timbers Preserve Water Tower
Mount Werner
Emerald Mountain
Craig Area
Remax Downtown Craig
Sand Rock Water Tank
Cedar Mountain
 South Routt
Phippsburg/Greenridge Mountain
Stagecoach
Oak Creek Water Tower
Yampa
North Routt
Clark/Moon Hill
West Routt
Milner
Hayden/COG
Service
Choice Internet Access $46/month
Premier Internet Access $66/month
Turbo Internet Access $86/month
TurboPlus Internet Access $116/month
Additional Notes
(Optional)
Please use this space to provide directions to your location, additional contacts, desired installation date or any other important information.
Billing
Payment for the installation and the prorated 1st month is due at the time of installation.
My initial payment method will be:
Visa, Mastercard or American Express
Check - a minimum of three months of prepayment is required at the time of installation
Cash - a minimum of three months of prepayment is required at the time of installation
My preferred billing frequency:
Monthly - Automatic payment with a credit or debit card is required for at least the first 3 months
Quarterly
Prepay for 6 months and save 10%
Prepay for 12 months and save 15%
My preferred invoice method:
Automatic Payment - Charges process on a credit or debit card on the 1st of each month and email receipts are sent.
Email Invoice - Invoice are emailed on the 25th and payments are due on the 20th of each month.
Paper Invoice - Invoice are printed and mailed on the 25th and payments are due on the 20th of each month.
Order entered by:
Order Terms

After we mount an antenna on the outside of your home (or business) we will run a cat5 data wire inside. Our ethernet connection can plug directly into a single computer or router. We do not provide computers or routers. Payment for the installation and the prorated 1st month is due at the time of installation. If you cancel service prior to paying for 6 full months there will be an early termination fee of up to $175. If you relocate service prior to 6 months a $95 relocate charge will apply. At the end of this contract, your service will continue month-to-month, unless you notify us that you would like to suspend or cancel service. The antenna and equipment that we install belongs to ZIRKEL Wireless and it will need to be returned upon cancellation. If you have dogs, you will need to secure them in a room or a garage prior to your install appointment. If you have concerns about antenna placement or the install, please discuss this with the installer before he begins the installation. The complete agreement and company policies can be viewed on our website, at the links below.

Internet Service Agreement   Acceptable Use Policy
I agree to all of the terms and conditions listed above
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