New Comcast Business Account

Service Location

Company Name*

DBA

DUNS # (not required)

Service Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Address*

Same as Service Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Main Authorized Contact

Main Authorized Contact*

First Last

Contact Email*

Contact Phone Number*

Billing Contact

Name*

First Last

Email*

Phone*

Service Type

Internet Speed*

35 Down, 5 Up
100 Down, 15 Up
200 Down, 20 Up
300 Down, 30 Up
600 Down, 35 Up
1GB Down, 35 Up

Current Additional Pricing:

Equipment fee (voice/internet orders):
$18.45

Static IP charge: 1 - $19.95 ; 5 - $24.95 ; 13 - $39.95

Connect Pro 4g failover (with cradle point router) :
$39.95 (comes with 8 hour battery backup , no data cap, and 10/1mb speed)

Install fee:
$119.95 / *Reduced install of $59.95 for 200mb voice bundle or higher speed

Any Additional Services?

1 Static IP Address
5 Static IP Addresses
13 Static IP Addresses
Connect Pro 4g failover (with cradle point router)
Voice Lines
Television

Voice

New lines or Transferring Old Lines*

New
Transfering

If Porting, please provide a list of all phone #’s*

Upload copy of most recent bill*

Drop files here or

Max. file size: 50 MB.