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Hi there, The monthly fee for this is $11.99 plus taxes and fees. Yes, you can use this device without internet, as it uses 4g LTE to make and receive calls. Please visit this link to check the coverage near your area. https://www.ooma.com/smart-home-devices/4g-lte-high-speed-cellular-coverage-map-usa/ Regards, Gordon Ooma Customer Reputation Specialist Social@ooma.com
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