Clear Lake Phone Application Form Logo
  • Phone Application Form

    316 3rd Ave, P.O. Box 474, Clear Lake, WI 54005
  • Clear Lake Residential Phone Application

    Clear Lake Residential Phone Application

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  • Clear Lake Small Business Phone Application

    Clear Lake Small Business Phone Application

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  • Clear Lake Phone Application Continued

    Clear Lake Phone Application Continued

  • Work required to establish service beyond the protector on the inside of the customer's residence is the customer's responsibility. If inside wiring of your residence is required you may install this wiring yourself, hire any outside vendor or hire us. Inside wiring is available from us under the following terms:
    All charges are on a time and materials basis. The hourly rates are $60.00 per hour, or $70.00 per hour for business systems. A minimum charge of $22.50 is required. The average cost of installing a phone jack is approximately $50.00-$75.00 with material, but may be more or less depending on the circumstances. As recipients of federal assistance, the Clear Lake Telephone Company is required to identify and document as accurately as possible that racial/ethnic data on the eligible population in our services area. We would appreciate your checking the appropriate group listed below. 


  • I understand that upon written request from myself or other responsible person that the Clear Lake Telephone Company will notify the Country Department of Health and Social Services at least 5 calendar days prior to disconnection of service.
    I understand that the provision of telephone service will require facilities to be placed on the property and give my approval (if owner) or have received approval from the property owner for the placement of these facilities. Upon disconnection of service I agree to return all leased modular telephone equipment to this office or I will be charged for this leased telephone equipment.
    In making this application, I agree to the rules and regulations as established

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  • Glenwood City, Downing, Boyceville, & Townships of Cylon, Erin Prairie, and Emerald VoIP Phone Application

    Glenwood City, Downing, Boyceville, & Townships of Cylon, Erin Prairie, and Emerald VoIP Phone Application

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  • Directory Listing

    • Listed:  No charge
    • Non Listed: Your number is NOT in the directory, but IS given out through information - $2/Month
    • Non-Public: Your number is NOT in the directory and is NOT given out through information - $2/month
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  • It has been explained to me and I understand that the prices listed on this application and in all other Nextgen materials do not include taxes, franchise fees, and other mandated charges. Each receiver is billed the said amount. By signing below you agree to the terms and conditions on the back of this form. All packages do not provide for connecting game, web or email servers behind our connection. I have reviewed and agree with the acceptable usage policy. **install fees do not include any inside wiring.

  • Acceptance Usage Policy

    I, the undersigned, am requesting a Nextgen Broadband account. By signing this agreement I agree not to use the services for any purpose that violates U.S., state, or local laws. I agree- not to use the services to. interfere with or disrupt network users, services or equipment. Such interference or disruption includes, but is not limited to:

    Distribution of unsolicited advertising
    Propagation of computer worms or viruses
    Use of the network to make unauthorized entry to.other computational, Information, or communication device or resources
    Allowing dial-up or any other connection to access to its Internet through modems or any other means: access by direct connection will be limited to access on the premises to which Internet access is provided by participant
    Attempts to bring down network services or resources (Denial-Of-Service attacks, etc) Unauthorized use of IP addresses or other network resources
    It is Illegal to attempt.to access the computer systems of individuals or organizations without authorization. Such attempts are subject to service termination and prosecution. Individuals are encouraged to utilize hardware and/or software security measures as appropriate.

    Privacy & Security

    Your account is not confidential by nature of the Internet. This means that you are responsiole for protecting your name, address, phone number, and/or any other personal information while on the Internet.

    Nextgen Broadband will hold ail customer personal, account and online information private from Individuals, organizations, marketing companies and anybody else not authorized by the account holder, unless directed by law.

    General Notice

    Certain Internet services may contain language, sounds or pictures which some individuals may find offensive, inflammatory, or of an adult nature. Such contents are the sole responsibility of the Internet service provider. We do not endorse such materials and disclaim any and ail liability for their contents.

    I agree to hold Nextgen Broadband its officers, agents and any of its members harmless from any liability arising from special, indirect, or consequential damages Including but not limited to any lost profits, loss of opportunity, or any other loss which may result from the use of, misuse of, or lack of availability of Nextgen Broadband or its facilities.

    In the event that you create a personal page on the Internet, be aware that Nextgen Broadband reserves the right to disconnect pages which are of an offensive, inflammatory, or of an adult nature.

  • Customers signing this agreement are aware of all safety measures needed to protect any and all equipment that will be plugged into the High Speed Internet Connection. Firewalls and switches are responsibilities of the customer to purchase and install to protect equipment plugged into the High Speed Internet Connection.

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  • Glenwood City, Downing, Boyceville, & Townships of Cylon, Erin Prairie, and Emerald Small Business Phone Application

    Glenwood City, Downing, Boyceville, & Townships of Cylon, Erin Prairie, and Emerald Small Business Phone Application

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  • Important Message About Your
    Customer Proprietary Network Information (CPNI)

    The protection of your account information has always been very important to us, so has the opportunity to provide you with excellent customer service.

    In order to continue providing you with this level of service, we ask that you read the following information carefully, as the Federal Communication Commission (FCC) is imposing new rules on all telecommunications providers.

    These rules will require that we obtain verification from you before we can provide you any information on your billing account. The following new rules will take affect this fall:

    • Customers requesting information in person will be required to provide a photo ID
    • Customers requesting information over the phone will be required to provide us with the account password (see below for establishing a password for your account). If a password is forgotten, the customer will have established a "verification question" and "answer" that will allow us to provide or reset the forgotten password.

    Customers not able to provide the required verifications about, will only be allowed to receive their account information through the mail. The information may only be sent to the addresss on the customer account.

    Also at this time we are encouraging our customers to make any name changes to their account that would make account access easier for those who need to inquire about the account. For example, adding the other spouse's name if the account is listed in only one spouse's name. For this process our company will waive the one time charge that is normally charged for name changes.

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    Acceptance Usage Policy

    I, the undersigned, am requesting a Nextgen Broadband account. By signing this agreement I agree not to use the services for any purpose that violates U.S., state, or local laws. I agree- not to use the services to. interfere with or disrupt network users, services or equipment. Such interference or disruption includes, but is not limited to:

    • Distribution of unsolicited advertising
    • Propagation of computer worms or viruses
    • Use of the network to make unauthorized entry to.other computational, Information, or communication device or resources
    • Allowing dial-up or any other connection to access to its Internet through modems or any other means: access by direct connection will be limited to access on the premises to which Internet access is provided by participant
    • Attempts to bring down network services or resources (Denial-Of-Service attacks, etc) Unauthorized use of IP addresses or other network resources

    It is Illegal to attempt.to access the computer systems of individuals or organizations without authorization. Such attempts are subject to service termination and prosecution. Individuals are encouraged to utilize hardware and/or software security measures as appropriate.

    Privacy & Security

    Your account is not confidential by nature of the Internet. This means that you are responsiole for protecting your name, address, phone number, and/or any other personal information while on the Internet.

    Nextgen Broadband will hold ail customer personal, account and online information private from Individuals, organizations, marketing companies and anybody else not authorized by the account holder, unless directed by law.

    General Notice

    Certain Internet services may contain language, s0unds or pictures which some individuals may find offensive, inflammatory, or of an adult nature. Such contents are the sole responsibility of the Internet service provider. We do not endorse such materials and disclaim any and ail liability for their contents.

    I agree to hold Nextgen Broadband its officers, agents and any of its members harmless from any liability arising from special, indirect, or consequential damages Including but not limited to any lost profits, loss of opportunity, or any other loss which may result from the use of, misuse of, or lack of availability of Nextgen Broadband or its facilities.

    In the even that you create a personal page .on the Internet, be aware that Nextgen Broadband reserves the right to disconnect pages which are of an offensive, inflammatory, or of an adult nature.

    Customers signing this agreement are aware of all safety measures needed to protect any and all equipment that wiH be plugged into the cable modem. Firewalls and switches are responsibilities of the customer to purchase and Install to protect equipment plugged into the cable modem. (Free firewall software and information is available· to download from the lnterpet)

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  • Please click submit to finalize your application. 

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