Application Business - New Business Telephone Only

Business

Phone Only
All questions marked with * are required.
Please specify the Customer Care Specialist that you spoke with
Please specify the Customer Care Specialist that you spoke with
Schedule of Charges:

Basic Phone: $34.95 monthly plus taxes & fees

Installation: $100.00
Business Name
if DBA, please enter your full legal name below
Full Legal Name

PrefixFirst NameMiddle NameLast NameSuffix
Contact Number

Area CodePhone Number
Is this a
E-mail
Service Address

Street Address

Street Address Line 2

CityState

Zip Code
County
Do you Own or rent this property?

Other
If renting, please provide Landlord Name and Contact #
Do you wish to sign up for eBill (paperless) billing?
Billing Address

Street Address

Street Address Line 2

CityState

Zip Code
Alternate name and contact #
Have you had service with our company before?
Has there been service at this address before?
Do jacks need to be installed? *if no, select 0, if yes, select # of jacks
Is electric run to the property?
Where is your electric meter located?
CPNI

CPNI is a communications industry abbreviation that stands for Customer Proprietary Network Information. CPNI refers to your telephone service, including the charges on your bill, the services you subscribe to, and your usage data and calling patterns.

For more information, please click here
Please list any other individuals you are granting permission to access this account
Separate multiple names with comma ,
Signature
Should be Empty:

Business