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Zap Cap Order Form

Interested in our Premium Service? Call 877 SURGE 22 (877-787-4322) to learn more about UPS and our bundled package pricing. For surge protection, please complete and submit the order form.


General Information

Installation Information

Please provide the service address where Zapcap will be installed:

Customer Information

Order Information

Zap Cap System® Basic Package Price
Installation Charge
Includes either the multimedia home office plug-in protector at no additional charge, or upgrade to the deluxe home entertainment plug-in protector for $30.00 (provided at time of installation).
Monthly Service Fee $7.95

Choose ONE of the following plug-in protectors
To help protect your computer, printer, fax and router, choose the multimedia home office plug-in with 8 outlets spaced to accommodate small power supplies.
Protecting your TV, DVD or Blu-ray players, stereo equipment and gaming systems is easy with the deluxe home entertainment plug-in. With 8 wide-spaced outlets, extra cable connectors and a 3-foot coaxial cable, you'll have everything you need. (Regularly priced at $79.95 if purchased separately)
Special Offer! $30.00

Now that you have selected one of the above plug-in protectors with the basic Zap Cap Systems package, please consider optional Zap Cap products below to protect additional sensitive electronics in your home.

Remember: All electronic equipment must be plugged into a Zap Cap Systems® plug-in protector to qualify for the manufacturer's warranty coverage.

Optional Zap Cap Products Unit Price Quantity Price
Single-outlet plug-in protector $11.95
Multimedia home office plug-in protector $49.95
Deluxe home entertainment plug-in protector $79.95
Your Zap Cap Systems® fee will be conveniently added to your electric bill.

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