Service Form

Full Name*
Email*
Daytime Phone Number*
Cell Phone Number*
Are you a new or current customer of USA Communications?*

New CustomerCurrent Customer
Is this service request for a residence or business?*

ResidentialBusiness
Business Name*
Service Address*
Service City*
Service Zip Code*
Desired Services*

InternetUSA StreamTelephoneBundles
Fiber Internet

60/5 Mbps - $61.75/month*100/100 Mbps - $82.35/month*250/250 Mbps - $85.35/month*1 Gig/1 Gig - $89.35/month*
USA Stream

Basic - $129.00/month*Expanded - $145.00/month*
Telephone

Yes, I'm interested in phone service.No, I'm not interested in phone service.
Bundles

Red 100 - 100/100 Mbps, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $88.50/month*Red 250 - 250/100 Mbps, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $98.80/month*White 250 - 250/100 Mbps, Basic Video, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $248.99/month*Blue 250 - 250/100 Mbps, Expanded Video, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $258.99/month*250/100 Mpbs and Basic Video - $230.98/month*250/100 Mpbs and Expanded Video - $239.80/month*
Desired Services*

InternetUSA StreamTelephoneBundles
Fiber Internet

60/5 Mbps - $61.75/month*100/100 Mbps - $82.35/month*250/250 Mbps - $85.35/month*1Gig/1Gig -$89.35/month*
USA Stream

Basic - $129.00/month*Expanded - $145.00/month*
Telephone

Yes, I'm interested in phone service.No, I'm not interested in phone service.
Bundles

Red - 60/5 Mbps, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $78.75/month*White - 60/5 Mbps, Basic Video, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $207.79/month*Blue - 60/5 Mbps, Expanded Video, Unlimited Local Calling, and 100 Minutes Long Distance Calling - $217.79/month*
*Listed prices do not include surcharges, taxes and other fees. Prices are subject to change and some restrictions may apply. Paperless billing is required for this pricing.
Billing option

All of the listed prices on our website require the use of paperless billing with statements delivered via e-mail. Paper statements are available with a separate $2 per month charge.
Please choose your billing option*

Paperless via e-mailPaper via mail - $2.00/mo.
Desired installation date - optional

MonthDayYear
Do you have any questions or comments?
Please verify that you are human*
Should be Empty:

Billing option