City of Barnesville Digital TV Application

Application for Digital TV Service

As part of our ongoing commitment to providing you with the best service possible, the City of Barnesville is partnering with Red River Communications to provide a state-of-the-art digital system that offers flexibility, convenience, and reliability.

Please complete the application below, and one of the City of Barnesville customer service representatives will assist you in scheduling a time to install your new Digital TV service.
Section 1: Account Information
Name*

First NameLast Name
Service (Physical) Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.

Service Request Fees

As part of your service installation, service request fees may apply.
- New Install - $53.63
- Reconnect - $21.42
- Install Outlet (New Install) - $16.11
- Service Call - $21.42
By checking the box below, I agree to pay any service fees associated with my Digital TV service request.*

Yes, I agree to these fees.

Section 4: Digital TV Application Signature

By signing, you agree to comply with the following:
Date*

MonthDayYear
Date
Application Signature*

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Section 1: Account Information