As a special for all Ideal Living referrals, we will give you 2 months of free service** and all of our movie channels FREE for 3 months***. Please provide the following information. One of our Customer Service Representatives will be calling you to setup your new service. View the channel line-up.   First Name*:   Last Name*:   Home Phone*:   Day Time Phone:  (Please provide a day time number, if different from above.) Address:   Address 2:   City:   State:   AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS PR FM GU MH MP PW VI Zip*:   Email:   Which services are you interested in? (Check all that apply)  Broadcast Basic $10.70 12 Channels: Local Utah Broadcast channels including ABC, NBC, CBS, Fox, PBS, PAX, KBYU, & WB    Expanded Basic $39.95 57 Channels: 12 Broadcast Basic plus channels like Disney, ESPN, ESPN2, Local Channel 10, The Outdoor Channel, Fox News, CNN, The Weather Channel, Nickelodeon, and much more.    Digital Advantage $52.95 132 Channels: Includes 12 Broadcast Basic, 39 Expanded Basic channels, 39 digital channels, 30 DMX Music channels, and 6 PPV Channels, 1 digital receiver & remote.    Movie Channels Free for 3 months  Cinemax: 4 Channels $11.95  HBO: 6 Channels $12.95  Showtime: 10 Channels $11.95  Starz/Encore: 11 Channels $11.95  5Mbps Cable Modem Internet $35.95 You will get a $5/month discount when bundled with Basic or Expanded package and $10/month discount when bundled with Digital Advantage    Add DVR to my package $14.95 Dual tuner DVR service allows you to record digitally any progam for later viewing. Or record a program while watching another or rewind live TV for instant replay of any program.    2 months of Free service with 2 year contract    1 month of Free service with 1 year contract By signing below, I (Subscriber) hereby agree to keep the above service for the time period indicated above. I understand that if I fail to fulfill the entirety of this contract, a penalty of up to $150 will be charged to my account, and any equipment provided by Central Telcom Services, LLC dba CentraCom Interactive and Cut.Net ("CentraCom") must be returned or penalties will be assessed. I acknowledge that maintenance and repair of the cable inside my home is my responsibility. Repair fees may be assessed for damage caused by subscriber or any other parties. I agree that I shall not make nor cause to be made any unauthorized extension or modification to the cable or Internet systems and will be responsible for any loss sustained in so doing. If I am not the owner of the real property to be served, I agree to indemnify and hold CentraCom harmless from any and all claims of such owners arising out of the performance of the terms of this agreement. I acknowledge having received a copy of the Subscriber Privacy Notice and Connection Contract and Use Agreement. The undersigned makes application for the above services and equipment and agrees to pay established rates for all such services and equipment. In making this application, the abovesigned agrees to the rules, regulations, tariffs or rates for services furnished. Late charges, as regularly published by CentraCom, shall be added to all late payments received after the 20th of each month. Disconnection for late payment will be subject to a service restoration fee in addition to payment for all past due amounts. This application becomes a contract when accepted by CentraCom. These services are not available in all areas. The undersigned agrees to pay all attorney’s fees, court costs, filing fees, including charges or commissions up to fifty-percent, that may be assessed to CentraCom by any collection agency retained to pursue this matter in the event of a breach of this agreement. Payment of first month of service constitutes acceptance of this agreement. *Fields marked with an asterisk are required fields. ** Requires 2-year contract. *** Requires Expanded Basic Cable TV package. After free period, movie service will continue for $38.80/month. (Digital Receiver Free with Digital Advantage package and $4.95/month with Expanded Basic package). Some restrictions apply. Not available in all areas. Call 1-800-427-8449 for details.