First Name *
Last Name *
Email *
Contact Number *
Billing Contact
Onsite Contact
Full Address *
suite/unit #
City *
Province *
Postal Code *
site phone/fax number *
Current Internet service
Service plan that you are going to choice * Select OneShaw Cable 1 (up to 5 Mbps / 500 Mbps *) for $40.54 /mthShaw Cable 2 (up to 15 Mbps / 1 Mbps *) for $56.76 /mthShaw Cable 3 (up to 25 Mbps / 2.5 Mbps *) for $77.03 /mthShaw Cable 4 (up to 100 Mbps / 5 Mbps *) for $203.13 /mth
Want Voice Add On (Add $14.95 /mth to cable plan) Select OneYesNo
Add Cellular Backup * Select OneYesNo
Additional Comments