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Attributes in bold are required.

Please choose your modem/router/firewall:	I already have an ADSL Modem - $0 DSL Modem/Firewall - Purchase - $49.95 DSL Modem/Firewall - Rental - $3 per month Wireless DSL Modem/Firewall - Purchase - $79.95 Wireless DSL Modem/Firewall - Rental - $5 per month
Please choose your contract term	1 Year Contract - Self Installation - $0 No Contract - Self Installation + $1 per month
Telephone line to connect DSL to (home phone or fax #)
	I do not have a phone line + $30 per month

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