Full Name
*
Additional Responsible Parties
*
Billing Passcode (Mother's maiden name)
*
Cell Phone
*
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Mobile Carrier
*
Permission to text
*
Yes
No
Email
*
Employer
*
How did you hear about service?
*
Did a friend refer to our service? Make sure to let us know so they can get a one-time bill credit! Then refer someone & get your own one-time bill credit
Service Address
*
City
*
State
*
Zip Code
*
Is your service address the same as your billing address?
Yes
No
Billing Address
*
City
*
State
*
Zip Code
*
Internet
Speeds
STANDARD-25 Mbps - $75.00/month
PREMIUM-100 Mbps - $99.00/month
TURBO-250 Mbps - $139.00/month
*
Submit
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