ACTIVE STRASBURG
FIBER TO THE HOME AGREEMENT
As part of our ongoing upgrades, ESTech will begin Fiber to the Home (FTTH) installations in your area. ESTech is requesting to install, at no cost to you, FTTH equipment and a new fiber drop to your property. ESTech will contact you to coordinate installation of the FTTH equipment and fiber drop.
YES, I give ESTech permission to install FTTH equipment on my property. I am the owner.
YES, I am interested in FTTH but I rent. Below is the property owner's name, address and phone number.
Owner Information:
*
Your Name
*
Street Address
*
Home Phone
Format: (000) 000-0000.
Work/Cell Phone
*
Format: (000) 000-0000.
Email address
*
example@example.com
Customer Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
www.easternslopetech.com
• 403 3rd Ave., Box 397 • Hugo, Colorado 80821 • 719-743-2441
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