Flex TV National Installation Order Form

Name *
Street Address *
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Zip Code *
Email *
Phone *
Checkboxes
Authorized to Call Back
I authorize Freedom Satellite Systems to call me regardless whether I am on a Do Not Call list or not.
How Many TV's Would You Like Connected?1 HD Receiver $250 - Monthly receiver fee $72 HD Receivers $350 - Monthly receiver fee $143 HD Receivers $450 - Monthly receiver fee $211 HD DVR Receiver $200 - Monthly receiver fee $152 HD DVR System $250  - Monthly receiver fee $223 HD DVR System $300 - Monthly receiver fee $29
Price reflects charge for equipment and standard installation.  Sales taxes and other fees may apply. Equipment is yours to keep.
INSTANT $125 credit against equipment and installation when subscribing to any DISH Latino package!
Choose Your Programming PackageDISH Latino Clasico $44.99 per mo.DISH Latino Plus $51.99 per mo.DISH Latino Dos $70.99 per mo.DISH Latino Max $82.99 per mo.Flex Pack $42.99 per mo.America's Top 120 $72.99 per mo.America's Top 120+ $77.99 per mo.America's Top 200 $87.99 per mo.America's Top 250 $97.99 per mo.
Optional Local Channels
Local Channels $12per mo.
Notes
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