Computer Consultants & Internet Consultants

 
 
        
 

 

 

 
 
  Road Runner Order Form - Residential

For Tampa Bay Florida and Surrounding Areas Only! This service is available only in the Bright House Networks Cable service area located throughout the West Coast of Central Florida.

Please complete all questions. Fields in Bold are required.

Customer Information
First Name:
 
Last Name:
 
Address1:
 
Address2:
 
City:
 
Zip Code:
   5 digits: xxxxx
Phone:
   Include area code: xxx-xxx-xxxx
Email:
   Used to send your order confirmation only!
Billing Information

Click if same as above Customer Information
Address1:
 
Address2:
 
City:
 
Zip Code:
   5 digits: xxxxx
Phone:
   Include area code: xxx-xxx-xxxx
Email:
   Used to send your order confirmation only!
Additional Information
       Package:           
      Roadrunner
      Roadrunner Lite
 
         Operating System   
     
       Installation Type:        Notes
      Self Install PC USB
 No charge. Must have available USB Port.
      Self Install PC NIC
 No charge. Must have available Ethernet card.
      Self Install MAC
 No charge. Must have available Ethernet card.
      Self Install Other
 No charge (i.e. Router / Firewall).
      PC Tech Install Desktop
 Additional fee. If you do not have an Ethernet card / USB port, we can install one.
      PC Tech Install Laptop
 Additional fee.
      PC Tech Install Other
 Additional fee (i.e. Router / Firewall).
Schedule Installation Time
       Note: Preferred Date must be at least 4 days from the current date.
       Preferred Date:   mm/dd/yy - (Monday -> Friday only)
Time Frame:  
Alternate Date:   mm/dd/yy - (Monday -> Friday only)
Time Frame:  
Comments:  
 


Please contact or e-mail us to discuss your needs.

 

  

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