Internet set up form
Just complete the form below, and we’ll be in touch shortly to verify your info and get your new account ready to go. Thanks for reaching out.
When is a good time for me to reach out and go over your available services and current deals?
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
*
First Name
Last Name
Your call back phone number
*
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Area Code
Phone Number
When is the most convenient time for me to reach you?
Email
*
example@example.com
Address
*
Street Address
Unit Number
City
State / Province
Postal / Zip Code
Which services would you like information on — internet, phone, or streaming.
Please Select
AT&T Internet Only
AT&T Internet With DirecTV Streaming Service
AT&T Internet With Wireless Cell Phone Deals
AT&T Bundle with Internet, TV and Wireless
Choose with wireless plan or without
Please Select
Internet Air (standalone) $55/mo
Requires autopay
Internet Air (with wireless) $35/mo Requires eligible AT&T wireless + autopay
Requires autopay + paperless billing, no contract, unlimited data
Referral Source:Friend, family, coworker, neighbor, leasing consultant, apartment manager, community member, or other.
Property Name (if applicable): Leave blank if this referral didn’t come from an apartment community.
Signature
*
Date Signed
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Who connected you with us today?
By submitting your information, you agree that Nationwide Service Providers LLC or its affiliates may contact you with wireless, TV, and internet promotions, discounts, and bundle offers. You authorize us to reach out by phone call, text message, or email to provide quotes, plan details, and special incentives. Your consent is not required to make a purchase, and you may opt out at any time.
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