New Service Order Form

Choose From the Services Below:

Telephone Services:

Residential Telephone Service*: $17.75 -
Business Telephone Service*: $20.75 -

*Other calling features not listed above.

Listed Phone Number:

Non-Listed: $0.50
Non-Published: $0.50

Inside Wire Maintenance:

Total Home Protection: $9.95/mo.
No

Calling Features

Voicemail: $4.00/mo.
Calling Name & Number Delivery: $5.00/mo.
Call Waiting: $1.50/mo.
Call Waiting ID: $2.00/mo.

*Other calling features not listed above.

Long Distance Calling Options:

Yes
No

Bundled High Speed Fiber Internet and Phone Packages:

*Speeds are subject to availability.

Promo Code:

*Enter promotional code if applicable for discounts.

Please Choose Your Long Distance Plan:

Option 1: $0.10 cents per minute: no monthly fee
Option 2: $0.07 cents per minute: $4.95/mo.
Option 3: 500 minutes of long distance: $21.95

High Speed Internet:

High Speed Internet requires installation/activation fees. Our staff will provide additional details. *Prices shown are with active telephone service. *Download and upload speeds may vary.

Residential Wi-Fi Home Solutions:

Wi-Fi Connected Home Limited: $18.95 - (Includes 1 Router and 1 Mesh Unit)
Wi-Fi Advanced Connected Home: $24.95 - (Includes 1 Router and 2 Mesh Units)

Additional Products & Services:

Connect Protect AntiVirus (Monthly Package) - $2.99/mo. (covers up to 3 devices) $1.25/mo for each additional device
Connect Protect AntiVirus (Yearly Package) - $29.99 for 1-year (covers up to 3 devices) $1.25/mo for each additional device

Account Information

Name *

First

Last

Phone *

Email *

Physical Address *

Address Line 1

Address Line 2

City

State

Zip Code

Billing Address (If Different Than Physical)

Address Line 1

Address Line 2

City

State

Zip Code

How Did You Hear About Us?

Enter Your Birthday for Coupons and Discounts!

MM/DD/YYYY

S&A New Service Form

Choose From the Services Below:

Account Information