1. Select Your HughesNet Service Plan

Plan Type: Select One Home ($59.99/month) Professional ($69.99/month) ProPlus (79.99/month) Small Office ($99.99/month) Business Internet ($179.99/month)

Payment Option: Select One Upfront Residential Plan ($399.98*) Promo Residential Plan (+ $10.00/month) Upfront Business Plan ($699.98*) Promo Business Plan (+ $20.00/month)

Service Assurance: Select One Basic Warranty (included) Service Assurance Std ($5.95/month) Service Assurance Plus ($12.95/month)

Dial Up Account: Select One None Dial Up Account ($15.00/month)

* Price before $100 HughesNet Mail-In Rebate

2. Installation Information

First Name:

Last Name:

Email Address:

Primary Phone Number:

Secondary Phone Number:

Street:

City:

State: -- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY

Zip Code:

3. Billing Information (if different)

Check if the same:

Street:

City:

State: -- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY

Zip Code:

I have read and agree to Terms and Conditions

Once your order is received, we will be contacting you to confirm your order and verify your payment method.