Carbon & Emery Counties Service Application

Please fill out the following service application and an Emery Telcom representative will be in touch with you in one business day to complete your order. Services available in Moab, Utah only. Prices subject to taxes, government charges and franchise fees.

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Full Name *

First Name Last Name

Phone Number *

- Area Code Phone Number

E-mail

Physical Address for Service *

Street Address
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Zip Code	Country

Billing Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

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Deposit (Cost of one month of service) Auto Pay (Credit card or bank account number)

Moab Services

ExStream Internet Bundles
Biggest Savings! Internet
Ala Carte Digital Cable TV
Ala Carte Local Phone Service
Ala Carte

Bundled Services

See our Web Brochure for additional details.

Triple Play Bundles

Phone, Internet, & Analog TV: $127.45/month
62 Channels & 150 GB Usage, 25 Mb/5 Mb Speed Phone, Internet, & Digital TV: $138.15/month
62 Channels & 1 TB Usage, 25 Mb/5 Mb Speed Unlimited Phone, Internet, & Analog TV: $181.20/month
62 Channels, Unlimited Long Distance & 1 TB Usage, 25 Mb/5 Mb Speed

Double Play Bundles

Phone & Local TV: 36.75/month
Unlimited Local Calling, Call Features, Voicemail & 12 Channels Phone & Internet: $64.95/month
Unlimited Local Calling, Call Features & Voicemail, Long Distance 4.95¢ per minute & 1 TB Usage, 25 Mb/5 Mb Speed Phone & Analog TV: $91.45/month
Unlimited Local Calling, Call Features, Voicemail, Long Distance Service & 64 Channels. Save $60 per year! Phone & Digital TV: $97.15/month
Unlimited Local Calling, Call Features, Voicemail, Long Distance Service & 64 Channels. Save $60 per year! Internet & Analog TV: $113.95/month
64 Channels & 150 GB Usage, 25 Mb/5 Mb Speed Internet & Digital TV: $125.65/month
64 Channels & 1 TB Usage, 25 Mb/5 Mb Speed

TV Installation Fee

Unwired: $49.95
Emery Telcom installs jacks. Wired: $29.95
Jacks already exist in your home.

Ala Carte Internet Services

Save even more by bundling your services. Choose Bundles above or see our Web Brochure for additional details.

Internet

5 GB Usage, 25 Mb/5 Mb Speed: $34.95/month 150 GB Usage, 25 Mb/5 Mb Speed: $44.95/month 1 TB Usage, 25 Mb/5 Mb Speed: $54.95/month Unlimited Usage, 1 Gbs Speed: $64.95/month

Digital Cable TV

Save even more by bundling your services. Choose Bundles above or see our Web Brochure for additional details.

Cable TV Packages

Analog Basic: $74.00/month
62 Channels Digital Basic: $79.70/month
62 Channels, 25 Music Channels Digital Expanded: $97.70/month
114 Channels, 25 Music Channels

Premium Channels

HBO: $17.95/month Cinemax: $12.95/month Showtime: $15.95/month Starz: $12.95/month All Premiums: $50.00/month

High Definition

HD w/HD Receiver: $8.50/month HD w/DVR Receiver: $9.95/month

DVR

Regular DVR: $5.95 TiVo Que: $12.00 TiVo Mini: $5.95 (must have Que) TiVo Stream: $3.50 (must have Que)

TV Installation Fee

Unwired: $49.95
Emery Telcom installs jacks. Wired: $29.95
Jacks already exist in your home.

Local Phone Services

Save even more by bundling your services. Choose Bundles above or see our Web Brochure for additional details.

Local Phone Services

Local Calling: $17.50/month Long Distance: $4.95/month (4.95¢ per minute) Unlimited Local and Long Distance: $65.50/month

Phone Options

Voicemail: Free Call Features: Free

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