"*" indicates required fields Step 1 of 5 20% Which services are you interested in? (Check all that apply)* Internet Phone Applicant InformationName* First Middle Last Utility Account #Service Address*Phone*Email* Will there be a spouse / co-applicant?* Yes No Spouse / Co-Applicant InformationName* First Middle Last Phone*Email* Existing Utility Service InfomationDo you own or rent?* Own Rent Landlord's Name*Landlord's Phone*Service Location* Inside City Limits Outside City Limits Electric Services* Aerial Underground Electric Meter Location* On Home On Pole Approx. Pole Distance to Home* Internet ServiceSelect Speed* 500 Mbps ($44.95) 1 Gig ($64.95) 30 Mbps ($30.00) Add Managed Wi-Fi? Add $9.95 per month Phone ServiceNUconnect Phone for $32.95* I'd like to keep my existing home number Please assign a new number Includes Unlimited Local & Long Distance Calling (taxes and fees not included)Please include the following features: Include All Voicemail Call Return Caller ID (Name & #) Call Forwarding Call Blocking Call Waiting Your existing phone number* CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
