I declare that the information provided is true, accurate and complete to the best of my knowledge, and is voluntarily submitted for the purpose of receiving telephone service in Cordova.I hereby agree to pay all service charges, toll charges and monthly charges as set forth in the Cooperative's tariff. I understand that CTC mails the billing for this service between the first and the fifth of every month and that payment must be received in full by the 20th of each month. Failure to pay by this date will result in written notice of past due status and will subject my account to suspension if not paid in ten days. Service, if suspended, will not be restored until full payment plus a $25 reconnect charge is received.Should I fail to make complete payment for services rendered after disconnection of my service, I understand that CTC will have the right to pursue collection against me. I agree to pay all reasonable costs incurred in the collection process as well as any applicable interest due as set forth in the Cooperative's tariff.I understand that the deposits required are separate from my monthly billing and that CTC will hold any said deposits until such time as follows:1. Instrument Deposit: Until instrument is returned.2. Security Deposit: 60 days following termination of service or upon establishment of two (2) years of continuous good credit with no more than two (2) disconnect notices.I hereby certify that I am at least eighteen (18) years of age and agree to abide by the bylaws of this Cooperative. I have read the above information and understand that this application for service becomes that property of the Cooperative and is not to be used for any other purpose than in connection with my account.
A VDSL modem is required for all packages. We offer these modem/router combination units for rent or purchase.
Please review our Internet Privacy and acceptable Use Policies at your earliest convenience. Sign below to acknowledge it is your obligation to read and follow these policies or your service may be terminated.
A VDSL modem is required for all packages. We offer these as modem/router combination units for rent or purchase.
A Cordova Wireless representative will review your application and run a credit check to determine the amount of the required security deposit. They will then contact you to discuss options such as cellular and data plans, phones and billing. Please make sure you have provided valid contact information in the previous sections to make sure they can reach you. Thank you.
In accordance with the Federal Communications Commission’s (FCC) Customer Propriety Network Information (CPNI) rules, communication companies are required to set up password protection for your account. CPNI is information that communication companies acquire about their subscribers. It includes not only what services are used but the amount and type of usage. CPNI does not include your name, address, or phone number.
Cordova Telephone Cooperative and Cordova Wireless Communications are serious about keeping your information safe from pre-texting (someone calling us and pretending to be you). When a customer asks for information on their, account a PIN or Password must be confirmed before information about the account is released. The person’s name that appears on the bill is the ONLY person authorized to make inquiries on this account, either in person or by phone. If you want to allow someone else to make inquiries on this account, for example your spouse, simply print their name(s) below.
Secret Question (Pick One – The will allow CTC to release your password to you or others with the correct answer):