Pre-Signup
Please check one of the following
Personal Account:
Business Account:
First Name:
Middle Initial:
Last Name:
Company Name:
Address:
City:
State:
Zip:
E-mail Address:
Phone Number:
Daytime Phone No.:
The following questions can help us to determine if your location qualifies for our wireless service:
How far are you from the water tower located on Tower Lane?
miles
Can you see the top of the water tower?
Yes
No
Are you aware of the startup costs?
Yes
No
Does your computer have an Ethernet port?
Yes
No
Unsure
When would like us to give you a call?
Notes or Comments: