• Residential Application

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Is this a rental property? If yes, property owner must call in or send email with approval.*
  • Do you live on a private drive*
  • Will an easement be necessary to install your services?*
  • Have you or your spouse or (other) had a telephone service with us before?*
  • Do you want a phone line?*

  • Do you want a phone only?*
  • Do you want to keep the same phone number? (If yes, please fill out the PORT LOA Form after submitting your application)*
  • Do you want your phone number published/Non-published?*
  • Authority to perform credit check*

  • Choose Your PHONE/INTERNET Bundle: (Includes Unlimited Calling) Taxes and fees not included.

  • Choose your Internet Only Plans: (Each pkg. includes Free Standard Installation. Wire Maintenance required – $2.95/mo.)*
  • Phone Only: Taxes and fees not included*
  • Do you want voicemail?

  • Agreement Relating to Identification of Utility Equipment and Other Equipment and Devices

  • Property Ownership Confirmation (Please select the option that applies to you):
  • I (We) agree to (check one):*
  • Check any items that you believe exist on your property:*

  • Need assistance with your phone bill? Click here

  • Protect Your Account with these SECURITY QUESTIONS (Answer at least 2 questions)

  • Terms and Conditions *Must scroll through text to select box.

  • Electronic Signature:

    By typing your name below, you agree that this is an electronic signature.

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  • Should be Empty: