Sign-up for Residential Service Home > Residential Solutions > Sign-up for Residential Service Step 1 of 4 25% Account InformationFirst Name * RequiredLast Name * RequiredAddress * Required Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone * RequiredMobileEmail Address * Required Authorized Person(s) * RequiredEmployer * RequiredAre you an existing customer? * RequiredYesNo Location InformationIs service being installed in a new home? * RequiredYesNoAny medical devices/life alert? * RequiredYesNoDo you rent or own? * RequiredOwnRentDo you currently have internet service? * RequiredYesNoHow do existing lines enter the house? * RequiredAerialUndergroundUnsureIs it ok to trim trees to enter house? * RequiredYesNo Service InformationWhat package are you interested in? * RequiredElite Streaming Package (100/100)Platinum Package (500/500)Ultimate GIG Package (1G/1G)Phone OnlyAre you interested in a Phone package? * RequiredNoNY CallingUSA CallingBasic PhoneAre you interested in a managed wireless router? * RequiredYesNoUnsure Additional InformationHow Did You Hear About Us?Marketing (Billboard)Marketing (Mailer)Marketing (Email)Marketing (Lawn-sign)Internet (Social Media, Website, Google)ReferralCall Out - ModemCall Out - PhoneCall Out - Watch ListEventTrouble TicketTechnical/EmployeeWebsite SubmissionOtherAdditional Comments