1. SYSTEM  >      2.  PROGRAMMING  >   3. COMMITMENT  >    4. INSTALLATION & BILLING For your security protection all credit card, social security and other information is sent to our secure server.     *Based on approved credit. Credit card required (MA & PA excluded). New customers only (lease required). Lease fee $4.99/mo. for second and each additional receiver.
1. CHOOSE YOUR SYSTEM How many rooms or televisions do you want to connect to your satellite system? Choose the system that you think is right for you. Think about how many rooms will have DISH Network and if you want a DVR, an HD system, or both. When you speak with an installation professional or service representative they will confirm your equipment preferences. The receiver and programming choices you make on this order form do not need to be your final choices. Note: Offer includes a maximum of 4 receivers (TV's) and that there is a limit of 2 HD receivers and 1 HD/DVR.     Rooms 1 2 3 4 Standard Digital System DVR Receiver   HD Receiver   HD DVR Receiver   2. CHOOSE YOUR PROGRAMMING Select your qualifying programming package ENTERTAINMENT PACKAGES  . Add your locals for only $5.00 per month   Monthly Rate FAMILY $29.99/mo Choice $34.99/mo Choice Xtra $39.99/mo Plus DVR $44.99/mo Premier $86.99/mo Prices reflect $18.00 off a month for 12 months after mail-in-redemption. Select Premium Packages Premium Packages: Get Showtime and Starz! FREE for 3 months. HBO $13.00/mo Cinemax $12.00/mo Showtime $12.00/mo STARZ Movie Pack   $12.00/mo Playboy $17.99/mo   HD Programming (High Definition) $9.99/mo Multi Sport Package $12.00/mo Note: Basic Entertainment Package prices do not include International programming fees. You must subscribe to a qualifying programming package to purchase international programming.   Please contact our customer service center for complete details. When you order international programming, we will contact you to ensure you are ordering the right equipment with the right programming. A la carte programming can be ordered when you speak to your installation professional. There is a $4.99 per month equipment rental fee for each receiver above the first. ($6.00 for the MPEG4 series)   There is an HD enabling fee of $6.00 per month for using a HD receiver and not subscribing to HD programming. There is a $99.00 one time up-grade cost for a second HD or DVR receiver. 3. COMMITMENT 18 Months - Standard Equipment 24 Months - Advanced Equipment 18 month commitment with standard equipment, 24 month commitment with advanced equipment (HD/DVR). If you have any questions: Call (281) 516-4600 4. INSTALLATION & BILLING DETAILS Is your residence a single story? Yes No Do you rent or own your current residence? Own Rent Please select the preferred installation day and time. 8am-12pm 12pm-4pm Date January February March April May June July August September October November December / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2008 2009 2010 4pm-7pm Additional Installation Instructions Please note, prices are plus Sales Tax where applicable. --> Your Contact Details Installation Address * First Name   Middle Name * Last Name * Phone at Installation Address * Alternate Contact Phone   Email Address * Street Address * City or Town * Zip Code * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     Credit Card Information Credit Card Billing Address * Credit Card Type AMEX DISCOVER VISA MASTER * Card Number * Name on Card * Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2005 2006 2007 2008 2009 2010 2011 2012 * 3 Digit Security Code Same as installation address * Street Address * City or Town * Zip Code * State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Social Security Number     Payment Information   - -         Credit Card & Social Security Numbers are required for credit check and will not be released to third parties except for verification and collection purposes.   By clicking on the Submit Order button, you are certifying that you agree to our Terms and Conditions. Within 24 hours a Dish installation professional will call to schedule an installation and confirm your programming options. Submit Order
	Red Alert Home Electronics Satellite Installation
	Red Alert Home Electronics (281) 516-4600 26010 Tomball Pkwy Suite B Tomball, TX 77375

Site Updated: February 10, 2007
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