ACCOUNT INFORMATION

SAN (Site Account Number)                     SITE ID:               SERIAL #:

Phone number on account:                       Name on Account:

Site Address (installation):        Site City, St, Zip:  

Billing Address (if different):       Billing City, St, Zip:

E-mail Address:                 

  Select original modem model... HN7000S DW7000 DW6000 DW4020 DW4000        Select original dish size... .74m (Oval) .98m (round)         Select original monthly service plan... Residential - $ 59.98 - $ 69.98 Professinal - $ 79.98 - $ 89.98 Other     If Other:

ORIGINAL OR CURRENT SATELLITE ASSIGNMENT  (MOVING FROM):

Please indicate which satellite you are moving from and the values you had prior to re-pointing.

Select the original satellite assignment... AMC9 83W AMC3 87W IA8 89W G11 91W G4R 99W SatMex5 117W Horizon 1 127W Other        If Other:        Frequency:           Signal Strength:     Crosspole:

REQUESTED SATELLITE (MOVING TO):

Please verify that you are pointed and cross-poled successfully to the new satellite you are requesting.

You will need to test the satellite with other available frequencies to ensure which is the strongest in your area.

Select the new satellite being requested... AMC9 83W AMC3 87W IA8 89W G11 91W G4R 99W SatMex5 117W Horizon 1 127W Other        If Other:

1st Frequency Test Results:                            Frequency:            Signal Strength:     Crosspole:

2nd Frequency Test Results:                            Frequency:            Signal Strength:     Crosspole:

3rd Frequency Test Results (if available)            Frequency:            Signal Strength:     Crosspole:

Current weather conditions:  Clear Partly Cloudy Mostly Cloudy Light Rain Heavy Rain Light Snowfall Heavy Snowfall   (used to determine a cause for "lower than normal" signal strengths)

BILLING INFORMATION (For the $50.00 charge for this service!)

Please visit our secure online store to submit payment for this service via the following link:

http://www.montanasatellitesupply.com/HughesNet_DirecWay_Satellite_Change_Request_p/hns_satchange.htm  

By submitting this form, you agree that you are the person responsible for the above account or have been authorized by the account holder to request the changes shown above.  By submitting this form you understand that Montana Satellite & Wireless can and will make no guarantee as to the approval or denial of your satellite change request from HughesNet, and you understand that you will be charged $50.00 US by Montana Satellite & Wireless for this service, however if your satellite change request is denied by HughesNet, Montana Satellite & Wireless will credit $30.00 of that charge back to your card.

By submitting this form, you are also confirming that the above mentioned system has been successfully re-pointed to the satellite being requested and that signal strengths and crosspole readings mentioned above are true and correct and that the system is powered up and ready to be re-commissioned to the new satellite.  You understand that further steps will need to be taken (i.e Running setup, etc.) to re-commission your modem to the satellite being requested once the request has been approved.

 Although most requests are processed immediately during normal business hours, please allow 2 business days for this request.  We will e-mail you once the satellite change request has been approved or denied by HughesNet.